以腹水为表现的巨大右心房血管瘤：一例报告。
Giant right atrial hemangioma presenting with ascites: A case report.
作者信息
Salsano Antonio, Perocchio Giacomo, Guadagno Antonio, Nozza Paolo, Regesta Tommaso, Santini Francesco
机构信息
Division of Cardiac Surgery, IRCCS Ospedale Policlinico San Martino, DISC Department, University of Genoa, 16132, Genoa, Italy.
DISC Department, University of Genoa, 16126, Genoa, Italy.
出版信息
Open Med (Wars). 2025 Jul 23;20(1):20251169. doi: 10.1515/med-2025-1169. eCollection 2025.
INTRODUCTION
Cardiac hemangiomas are slow-growing benign tumours of the heart. Patients may be asymptomatic or present a multitude of signs or symptoms.
METHODS
We report herein the case of a 72-year-old woman with a giant right atrial mass. The patient suffers from abdominal swelling related to ascites. The histological examination of the tranjugular biopsy suspected an atrial myxoma.
RESULTS
The patient was scheduled for surgical excision of the cardiac tumour. Radical resection of a 13 cm mass was performed. The histological diagnosis revealed cardiac hemangioma.
CONCLUSION
Cardiac hemangiomas can rarely grow larger than 5 cm, cause few symptoms, and are easily confused with atrial myxomas. Hepatomegaly and ascites may be signs of cardiac hemangioma.
引言
心脏血管瘤是生长缓慢的心脏良性肿瘤。患者可能无症状，或出现多种体征或症状。
方法
我们在此报告一例72岁女性患有巨大右心房肿块的病例。患者因腹水出现腹部肿胀。经颈静脉活检的组织学检查怀疑为心房黏液瘤。
结果
该患者计划接受心脏肿瘤的手术切除。对一个13厘米的肿块进行了根治性切除。组织学诊断为心脏血管瘤。
结论
心脏血管瘤很少能生长到超过5厘米，症状较少，且容易与心房黏液瘤混淆。肝肿大和腹水可能是心脏血管瘤的体征。
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