Wu Jingyi, Lin Yimei, Liu Juanlan, Wu Junmei, Zhang Hao, Liang Chao
Department of Anesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China.
Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China.
J Cardiothorac Surg. 2025 Apr 11;20(1):186. doi: 10.1186/s13019-025-03439-1.
Primary cardiac undifferentiated sarcoma is an exceptionally rare entity, marked by nonspecific symptoms that considerably challenge its diagnosis and treatment. Surgical resection generally serves as the primary treatment modality. This article describes the case of a 32-year-old female patient admitted to the hospital with symptoms of abdominal distension and pain. Subsequent echocardiography revealed a cardiac tumor that occupied almost the entire left and right atria. The tumor was surgically removed in an emergency procedure, and subsequent pathological examination confirmed an undifferentiated sarcoma. The patient was successfully discharged 17 days after surgery. She then completed six cycles of chemotherapy. A six-month follow-up showed no signs of tumor recurrence or metastasis.
原发性心脏未分化肉瘤是一种极为罕见的疾病，其症状不具有特异性，这给诊断和治疗带来了极大挑战。手术切除通常是主要的治疗方式。本文描述了一名32岁女性患者的病例，该患者因腹胀和腹痛症状入院。随后的超声心动图检查发现一个几乎占据整个左右心房的心脏肿瘤。该肿瘤在急诊手术中被切除，随后的病理检查证实为未分化肉瘤。患者术后17天成功出院。之后她完成了六个周期的化疗。六个月的随访显示没有肿瘤复发或转移的迹象。
