Baronciani D, Angelucci E, Polchi P, Martinelli F, Mariotti E, Marzocchi A, Longo M, Poggi S, Pileri S, Lucarelli G
Divisione Ematologica e Centro Trapianto di Midollo Osseo di Muraglia, Azienda Ospedale de Pesaro, Italy.
Bone Marrow Transplant. 1998 Apr;21(8):825-7. doi: 10.1038/sj.bmt.1701183.
We report a right atrial myxoma which suddenly developed in a thalassemic patient after allogeneic bone marrow transplantation. The tumor was first detected by echocardiography on day +47 after transplant and the patient underwent surgical removal of the myxoma on day +103. The post-operative course was uneventful, and at more than 3 years from the event, he is alive and well, cured from his congenital disease, with no detectable intra-cardiac tumor. The onset of the myxoma in the early post-transplant period and the extremely high velocity of growth suggest a possible relationship of this condition with the immunosuppressive status.
我们报告了1例地中海贫血患者在异基因骨髓移植后突然发生的右心房黏液瘤。移植后第47天经超声心动图首次检测到该肿瘤,患者于移植后第103天接受了黏液瘤切除术。术后过程顺利,事件发生3年多来,患者存活且状况良好,先天性疾病已治愈,未检测到心脏内肿瘤。移植后早期黏液瘤的发生以及极高的生长速度提示这种情况可能与免疫抑制状态有关。