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伪装成心包肿块的原发性心脏淋巴瘤:影像学、3D打印及外科治疗

Primary Cardiac Lymphoma Masquerading as a Pericardial Mass: Imaging, 3D Printing, and Surgical Management.

作者信息

Hajj Joseph, Harb Serge C, Klatte Ryan S, Ondrejka Sarah L, Valent Jason, Rosinski Bradley, Roselli Eric E, Tong Michael Z Y

机构信息

Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Department of Cardiovascular Imaging, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

出版信息

JACC Case Rep. 2025 Jun 25;30(16):103690. doi: 10.1016/j.jaccas.2025.103690.

Abstract

Diffuse large B-cell lymphoma (DLBCL) of the heart is an extremely rare and life-threatening condition. Given its location and invasive nature, surgical resection can be highly challenging. Multimodality imaging, including 3-dimensional printing, and a multidisciplinary approach are crucial for surgical planning and successful management. We present a unique case of a large, compressing, symptomatic pericardial mass that was surgically resected. The diagnosis was confirmed as DLBCL. Through the effective use of advanced imaging techniques and state-of-the-art surgical planning and execution, the tumor was successfully resected, leading to an accurate diagnosis and the potential for further treatment. This procedure resulted in symptom relief and an improved quality of life for the patient.

摘要

心脏弥漫性大B细胞淋巴瘤(DLBCL)是一种极其罕见且危及生命的疾病。鉴于其位置和侵袭性,手术切除极具挑战性。多模态成像,包括三维打印,以及多学科方法对于手术规划和成功治疗至关重要。我们报告了一例通过手术切除的大型、有压迫症状的心包肿块的独特病例。诊断确诊为DLBCL。通过有效运用先进的成像技术以及最先进的手术规划和实施,肿瘤得以成功切除,从而实现了准确诊断并为进一步治疗创造了可能。该手术缓解了患者症状,提高了患者生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a08/12273844/0f0b39bb5c23/ga1a.jpg

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