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[骨髓肉瘤——一种罕见的心脏肿瘤。肥厚型和非梗阻性心肌病的鉴别诊断]

[Myelosarcoma--an unusual heart tumor. Differential diagnosis of hypertrophic and non-obstructive cardiomyopathy].

作者信息

Schranz W, Seitz G, Bartels O

出版信息

Fortschr Med. 1984 Apr 26;102(16):455-8.

PMID:6586626
Abstract

Heart tumours are seldom; secondary malignant tumours occur more often than primary heart tumours and there are no characteristic symptoms. According to the location and extent, tumours of the heart can cause practically all the known cardiological symptoms, not only in the discrete, but also in the dramatic form. Frequent symptoms are disrhythmia , myocardial insufficiency and pericardial effusion. In the case of uncertain cardial symptoms a possibly malignant heart disease should be looked for by means of ultrasonics, computer tomography, myocardszintigraphy and if necessary angiocardiography. If a diagnosis is made in time, the patient can be helped either by surgery, or in cases of secondary, malignant infiltrations the patient can often be treated successfully with chemotherapy or radiation. In cases of unusual heart tumours ( myelosarcoma ) this differential diagnosis should also be taken into consideration.

摘要

心脏肿瘤很少见;继发性恶性肿瘤比原发性心脏肿瘤更常见,且没有特征性症状。根据肿瘤的位置和范围,心脏肿瘤几乎可引发所有已知的心脏病症状,不仅有轻微症状,也有严重症状。常见症状包括心律失常、心肌功能不全和心包积液。对于心脏症状不明确的情况,应通过超声、计算机断层扫描、心肌闪烁显像,必要时进行心血管造影来排查可能的恶性心脏疾病。如果能及时做出诊断,患者可通过手术得到治疗,对于继发性恶性浸润的情况,患者通常可通过化疗或放疗成功治愈。对于不常见的心脏肿瘤(髓肉瘤),也应考虑进行这种鉴别诊断。

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