切换至 "中华医学电子期刊资源库"

中华医学超声杂志(电子版) ›› 2022, Vol. 19 ›› Issue (10) : 1151 -1153. doi: 10.3877/cma.j.issn.1672-6448.2022.10.026

病例报告

原发性左心房梭形细胞肉瘤及术后复发一例
亢庆文1, 朱英1, 魏翔2, 刘娅妮1,()   
  1. 1. 430030 武汉,华中科技大学同济医学院附属同济医院超声影像科
    2. 430030 武汉,华中科技大学同济医学院附属同济医院心脏大血管外科
  • 收稿日期:2021-03-23 出版日期:2022-10-01
  • 通信作者: 刘娅妮

Postoperative recurrence of primary spindle cell sarcoma of the left atrium: a case report

Qingwen Kang1, Ying Zhu1, Xiang Wei2   

  • Received:2021-03-23 Published:2022-10-01
引用本文:

亢庆文, 朱英, 魏翔, 刘娅妮. 原发性左心房梭形细胞肉瘤及术后复发一例[J]. 中华医学超声杂志(电子版), 2022, 19(10): 1151-1153.

Qingwen Kang, Ying Zhu, Xiang Wei. Postoperative recurrence of primary spindle cell sarcoma of the left atrium: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(10): 1151-1153.

图1 左心房梭形细胞肉瘤超声及磁共振图像。图a~c为常规经胸超声心动图显示左心房后壁较大实质性肿块,并导致二尖瓣口狭窄;图d为心脏超声造影显示左心房肿块内丰富造影剂充填,提示该肿块富含血供;图e、f为心脏磁共振检查显示肿块首过灌注轻度强化,延迟增强不均匀强化(箭头所示为肿块)注:LA为左心房;LV为左心室;RA为右心房;RV为右心室;MASS为肿块
图2 左心房梭形细胞肉瘤术后病理图像。图a,b为肿块大体标本(正面观与背面观)呈灰白色;图c,d为镜下病理图片(图c为苏木素-伊红染色 ×40;图d为苏木素-伊红染色 ×100)
图3 左心房梭形细胞肉瘤术后复发超声心动图、心脏磁共振成像及头部磁共振图像。图a、b为常规经胸超声心动图显示左心房房间隔处复发低回声病灶(箭头所示);图c、d为心脏磁共振成像显示房间隔处异常信号影首过灌注轻度强化,延迟增强不均匀(箭头所示);图e、f为头部磁共振成像及弥散加权成像显示左侧颞叶长T2异常信号影,并且明显弥散受限注:LA为左心房;LV为左心室;RA为右心房;RV为右心室;RVOT为右心室流出道;AV为主动脉瓣
1
Maleszewski JJ, Bois MC, Bois JP, et al. Neoplasia and the heart: pathological review of effects with clinical and radiological correlation [J]. J Am Coll Cardiol, 2018, 72(2): 202-227.
2
Orlandi A, Ferlosio A, Roselli M, et al. Cardiac sarcomas: an update [J]. J Thorac Oncol, 2010, 5(9): 1483-1489.
3
Porter TR, Mulvagh SL, Abdelmoneim SS, et al. Clinical applications of ultrasonic enhancing agents in echocardiography: 2018 american society of echocardiography guidelines update [J]. J Am Soc Echocardiogr, 2018, 31(3): 241-274.
4
Mao YH, Deng YB, Liu YN, et al. Contrast echocardiographic perfusion imaging in clinical decision-making for cardiac masses in patients with a history of extracardiac malignant tumor [J]. JACC Cardiovasc Imaging, 2019, 12(4): 754-756.
5
Randhawa K, Ganeshan A, Hoey ET. Magnetic resonance imaging of cardiac tumors: part 1, sequences, protocols, and benign tumors [J]. Curr Probl Diagn Radiol, 2011, 40(4): 158-168.
6
Ranshawa JS, Budd GT, Randhawa M, et al. Primary cardiac sarcoma: 25-year cleveland clinic experience [J]. Am J Clin Oncol, 2016, 39(6): 593-599.
7
Aboud A, Farha K, Hsieh WC, et al. Prognostic factors for long-term survival after surgical resection of primary cardiac sarcoma [J]. Thorac Cardiovasc Surg, 2019, 67(8): 665-671.
8
Morei-Schimmel R, Pras E, Desar I, et al. Primary sarcoma of the heart: case report and literature review [J]. J Cardiothorac Surg, 2020, 15(1): 104.
9
Teker ME, Teskin O. Primary cardiac sarcoma remission after surgery: 5-years follow-up: case report [J]. Heart Surg Forum, 2018, 21(5): E401-E403.
No related articles found!
阅读次数
全文


摘要