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隐匿性入侵者:一例通过多模态成像确诊的罕见右心室脂肪瘤

Silent Invader: A Rare Right Ventricular Lipoma Resolved With Multimodal Imaging.

作者信息

Wang Jie, Hu Ping, Yuan Huan, Yan Hong, Ma Xiao-Jing

机构信息

Department of Radiology, Wuhan Asia Heart Hospital Affiliated Wuhan University of Science and Technology, Hankou District, Wuhan, China.

Department of Echocardiography, Wuhan Asia Heart Hospital, Hankou District, Wuhan, China.

出版信息

Echocardiography. 2025 Aug;42(8):e70230. doi: 10.1111/echo.70230.

DOI:10.1111/echo.70230
PMID:40719641
Abstract

A 36-year-old female with bilateral thyroid cancer was incidentally found to have a 5.6×4.3 cm right ventricular (RV) mass, confirmed by TTE and cardiac CT as a fat-density lesion. Multimodal imaging, including Myocardial contrast echocardiography (MCE), CT, and CMR, helped diagnose the mass as a cardiac lipoma and guided surgical planning, which successfully removed the tumor and restored RV dimensions. This case highlights the critical role of multimodal imaging in diagnosing and managing rare cardiac tumors.

摘要

一名36岁的双侧甲状腺癌女性患者偶然发现右心室有一个5.6×4.3厘米的肿块,经经胸超声心动图(TTE)和心脏CT证实为脂肪密度病变。多模态成像,包括心肌对比超声心动图(MCE)、CT和心脏磁共振成像(CMR),有助于将该肿块诊断为心脏脂肪瘤并指导手术规划,手术成功切除了肿瘤并恢复了右心室尺寸。该病例突出了多模态成像在诊断和管理罕见心脏肿瘤中的关键作用。

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