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頁籤選單縮合
題名 | Primary Left Atrial Malignant Mesenchymoma:A Case Report=原發性左心房惡性間葉瘤:一例報告 |
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作者 | 林誓揚; 謝元凱; 謝敏暲; 陳維仁; 傅懋洋; | 書刊名 | 長庚醫學 |
卷期 | 21:1 1998.03[民87.03] |
頁次 | 頁86-91 |
分類號 | 415.31 |
關鍵詞 | 惡性間葉瘤; 左心房; Malignant mesenchymoma; Left atrium; |
語文 | 英文(English) |
中文摘要 | 原發於心臟之惡性間葉瘤極端罕見,它的預後非常的差。在此我們報告1例源於 左心房後壁且進入右側肺靜脈之惡性間葉瘤。臨床上這個病例以鬱血性心衰竭、咳血及動 脈栓塞來表現。經食道超音波以及核磁共振血管攝影術在術前對此腫瘤的位置及擴散作了 很好的評估。手術切除腫瘤乃為治療的最佳選擇。 |
英文摘要 | Primary malignant mesenchymoma involving the heart is extremely rare. It usually has a poor prognosis. We report a case of malignant mesenchymoma originating in the left atrium with protrusion into the right pulmonary veins. Clinically, this patient presented with congestive heart failure, hemoptysis and systemic arterial embolization. Transthoracic and transesophageal echocardiography revealed a huge mass originating in the posterior wall of the left atrium with extension into both upper and lower right pulmonary veins. An elevated pulmonary arterial wedge pressure, moderate pulmonary hypertension and stenosis of the lower abdominal aorta were found during cardiac catheterization. Magnetic resonance imaging with angiographv disclosed a tumor mass over the abdominal aorta above the bifurcation with protrusion into the rioht common iliac artery. This patient underwent surgical resection of the cardiac tumor and postoperative adjuvant chemotherapy. The pathological finding of a tumor containing several cellular types of sarcoma confirmed the diagnosis of malignant mesenchymoma. |
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