儿童心脏和心周新生体:放射学-病理学相关性
Mariangeles Medina Perez1, John P Lichtenberger1, Alison R Huppmann1
1From the Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104 (M.M.P.); Sections of Thoracic Radiology (J.P.L.) and Pediatric Radiology (D.M.B.), American College of Radiology Institute of Radiologic Pathology, Silver Spring, Md; Department of Radiology, George Washington University, Washington, DC (J.P.L.); Department of Pathology, University of South Carolina School of Medicine, Greenville, SC (A.R.H.); Department of Pathology, MD Anderson Cancer Center, Houston, Tex (M.G.); and Department of Radiology (K.I.R.S., A.F., A.M.W., D.M.B.) and Division of Cardiology (D.V.), Children's Hospital of Philadelphia, Philadelphia, Penn.
小儿原发性心脏瘤很少见,成像可以帮助诊断. 治疗从观察到手术是不同的,根据瘤类型和患者的病情指导.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 初级心脏和心周瘤在儿童中很罕见.
- 良性瘤包括衣骨腺瘤和纤维瘤;恶性瘤包括软组织肉瘤.
- 转移性病变在儿童中比初级心脏瘤更为常见.
研究的目的:
- 审查儿科患者初级心脏和心周瘤瘤的诊断,成像特征和管理.
- 突出非侵入性心脏成像在区分良性和恶性瘤中的重要性.
- 讨论基于瘤类型和临床表现的治疗策略.
主要方法:
- 对非侵入性心脏成像方法的审查,包括心声回声学,心脏MRI和CT.
- 图像检测结果与瘤病理基础的相关性.
- 对各种心脏瘤治疗结果的分析.
主要成果:
- 心声图是主要的诊断工具,MRI和CT提供进一步的特征.
- 图像图像的外观根据潜在的瘤而有所不同,有助于分化.
- 治疗范围从保守的管理 (例如,体瘤回归) 到症状或恶性病变的外科切除.
结论:
- 准确的诊断和儿童心脏瘤的特征对于适当的管理至关重要.
- 非侵入性成像在区分良性病变和恶性病变方面发挥着至关重要的作用.
- 及时和量身定制的治疗,考虑到瘤生物学和患者状态,可以改善结果.
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