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[局限于右心腔的血管肉瘤。附病例报告]

[Angiosarcoma localized in the right cardiac cavities. Apropos of a case].

作者信息

Grollier G, Commeau P, Iselin M, Borel B, Rousselot P, Maiza D, Khayat A, Foucault J P, Potier J C

出版信息

Ann Cardiol Angeiol (Paris). 1983 Jan-Feb;32(1):59-62.

PMID:6683479
Abstract

The authors report the case of a young 26 years old man admitted for abundant fluid pericarditis which was rapidly recurrent, requiring two perocardial punctures and a surgical drainage. The two dimensional echocardiogram demonstrated a large right atrio-ventricular tumour with infiltration of the right ventricular wall, suggesting its malignant nature. After confirmation by right angiography and in view of the rapid cardiovascular deterioration, it was decided to operate. The surgery was only exploratory; not even palliative surgery was possible for this tumour mass invading the right atrium, the right ventricle and the pericardium. Histology revealed it to be an angiosarcoma.

摘要

作者报告了一例26岁年轻男性病例,该患者因大量心包积液入院,积液迅速复发,需要进行两次心包穿刺和一次外科引流。二维超声心动图显示右房室有一个大肿瘤,并侵犯右心室壁,提示其恶性性质。经右心造影确认后,鉴于心血管状况迅速恶化,决定进行手术。手术仅为探查性;对于这个侵犯右心房、右心室和心包的肿瘤块,甚至无法进行姑息性手术。组织学检查显示为血管肉瘤。

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