Benyass A, Boulahya A, Aithoussa M, Elbekali A, Siah S, Hda A, Boukili M A, Taobane H, Benomar S, Elkirat A
Service de Chirurgie Cardio-Vasculaire de l'H.M.I. Med V, Rabat, Maroc.
Ann Cardiol Angeiol (Paris). 1997 Dec;46(10):674-8.
The authors report the case of a 28-year-old woman referred to their department by a respiratory medicine department with an inferior mediastinal tumour arising from the right atrium, presenting in the form of dysponea, dry cough and chest pain associated with a general syndrome composed of fever, weight loss and physical asthenia. Physical examination revealed a superior vena cava syndrome, the electrocardiogram showed diffuse repolarization disorders and the chest x-ray showed an opacity of the anterior and inferior mediastinum. The diagnosis of tumour of the right atrium was based on echocardiography and thoracic CT scan. Subtotal surgical resection under cardiopulmonary bypass allowed examination of the histological type of the tumour. After routine chemotherapy, despite negative secondary staging and a favourable immediate course, the patient died 11 months after the operation in a context of local recurrence and hepatic and bone metastases.
作者报告了一例28岁女性病例，该患者由呼吸内科转诊至他们科室，患有起源于右心房的纵隔下部肿瘤，表现为呼吸困难、干咳和胸痛，并伴有由发热、体重减轻和身体乏力组成的全身症状。体格检查发现上腔静脉综合征，心电图显示弥漫性复极障碍，胸部X线显示前纵隔和下纵隔有不透明区。右心房肿瘤的诊断基于超声心动图和胸部CT扫描。在体外循环下进行了次全手术切除，以便检查肿瘤的组织学类型。常规化疗后，尽管二期分期为阴性且近期病程良好，但患者在术后11个月因局部复发及肝转移和骨转移而死亡。
