Suzuki M, Hamada M, Abe M, Matsuoka H, Shigematsu Y, Sumimoto T, Hiwada K, Osuka Y
2nd Department of Internal Medicine, Ehime University School of Medicine, Japan.
Jpn Circ J. 1994 Mar;58(3):222-6. doi: 10.1253/jcj.58.222.
We present a patient with metastatic cardiac leiomyosarcoma that was diagnosed antemortem by transesophageal echocardiography (TEE) and ECG-gated magnetic resonance imaging with gadolinium diethylene triaminepentaacetic acid (Gd-DTPA MRI). TEE and Gd-DTPA MRI clearly revealed the morphological characteristics of infundibular stenosis and cardiac tamponade. Our patient has survived about 30 months after cardiac surgery. Since sarcoma is usually associated with a very poor prognosis, surgical treatment should be performed as soon as possible. TEE with color Doppler imaging and Gd-DTPA MRI are very useful diagnostic methods for determining the precise anatomical characterization of cardiac tumor, and these procedures are prerequisite to precise therapy.
我们报告一例转移性心脏平滑肌肉瘤患者，该患者在生前通过经食管超声心动图（TEE）以及使用钆喷酸葡胺（Gd-DTPA）的心电图门控磁共振成像（MRI）得以确诊。TEE和Gd-DTPA MRI清晰显示了漏斗部狭窄和心脏压塞的形态学特征。我们的患者在心脏手术后存活了约30个月。由于肉瘤通常预后很差，应尽快进行手术治疗。带有彩色多普勒成像的TEE和Gd-DTPA MRI是确定心脏肿瘤精确解剖特征的非常有用的诊断方法，并且这些检查程序是精确治疗的先决条件。
