Bogren H G, DeMaria A N, Mason D T
Cardiovasc Intervent Radiol. 1980;3(3):107-25. doi: 10.1007/BF02552329.
Although cardiac tumors are relatively rare, their diagnosis is important because successful treatment is usually feasible if the diagnosis is made preoperatively. An analysis of 219 reports of cardiac tumors described in the English literature from 1972 through 1977 demonstrated the predominance of benign tumors, in particular myxoma, which is in agreement with past reviews. The methods of diagnosis employed included plain chest films, echocardiography, cardiac catheterization, angiocardiography, and cardiac scintigraphy. Conventional x-ray examination of the chest was abnormal in 83% of cardiac tumors but non-specific and should lead to further evaluation, first by echocardiography. Echocardiography, the most efficient diagnostic procedure for screening possible cardiac tumors, was abnormal in 94% of the cases. Cardiac catheterization was abnormal in 80% of cardiac tumors while definitive detection was made by angiocardiography in 94% of the cases. Cardiac scintigraphy has had limited use in the diagnosis of cardiac tumors, but has been diagnostic in 100% of the cases in a small series of myxomas.
尽管心脏肿瘤相对罕见，但它们的诊断很重要，因为如果在术前做出诊断，通常可以成功治疗。对1972年至1977年英文文献中描述的219例心脏肿瘤报告的分析表明，良性肿瘤占主导地位，尤其是黏液瘤，这与过去的综述一致。所采用的诊断方法包括胸部平片、超声心动图、心导管检查、心血管造影和心脏闪烁扫描。胸部常规x光检查在83%的心脏肿瘤中异常，但不具有特异性，应首先通过超声心动图进行进一步评估。超声心动图是筛查可能的心脏肿瘤最有效的诊断方法，在94%的病例中异常。心导管检查在80%的心脏肿瘤中异常，而94%的病例通过心血管造影进行明确诊断。心脏闪烁扫描在心脏肿瘤诊断中的应用有限，但在一小系列黏液瘤病例中诊断率为100%。
