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心脏黏液瘤的临床发现(作者翻译)

[Clinical findings on heart myxoma (authors' translation)].

作者信息

Saggau W, Schmitz W, Storch H H, Eberhardt-Kritikos K, Ros-Die E

出版信息

Langenbecks Arch Chir. 1980;353(1):19-33. doi: 10.1007/BF01261795.

Abstract

Clinical findings, diagnosis, and pathology of heart myxoma are discussed on the basis of personal experience with nine patients. There was a striking variety of signs and symptoms caused by tumor embolization, hemodynamic obstruction, and autoimmunologic reactions. Echocardiography is the method of choice, although angiography may still be necessary in atypical or negative echocardiographic findings. The tumor should be removed as soon as possible after diagnosis. There is danger of tumor embolization in the course of the operation. Long-term results are good, if resection of the tumors is performed before catastrophic complications occur. Morphologically, myxomas are genuine tumors characterized by myxomatous stromata and cells.

摘要

基于对9例患者的个人经验,讨论了心脏黏液瘤的临床表现、诊断和病理学。肿瘤栓塞、血流动力学梗阻和自身免疫反应可引起各种各样显著的体征和症状。超声心动图是首选方法,不过对于非典型或超声心动图检查结果为阴性的情况,血管造影可能仍有必要。诊断后应尽快切除肿瘤。手术过程中有肿瘤栓塞的风险。如果在灾难性并发症发生之前切除肿瘤,长期效果良好。从形态学上讲,黏液瘤是真正的肿瘤,其特征为黏液瘤性基质和细胞。

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