在鼻腔内潜伏的质量
Aneesh Dhorepatil1, Vivek Modi1, Mahwash Kassi1
1Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, US.
Methodist DeBakey cardiovascular journal
|January 1, 2024
概括
在一名75岁的患者身上发现了大量的心脏内质. 诊断证实了扩散性B细胞淋巴瘤,患者正在接受化疗.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 心内质量可能会带来诊断上的挑战.
- 早期检测对于有效治疗心脏瘤至关重要.
研究的目的:
- 报告一个偶然发现的心内质量,诊断为扩散B细胞淋巴瘤的病例.
- 为了突出这种罕见的心脏恶性瘤的诊断方法和治疗.
主要方法:
- 为初始检测而进行心声回声扫描.
- 心脏磁共振成像 (CMR) 和心脏正子辐射断层扫描 (PET) 用于表征.
- 内心心电心声导向活检用于确定诊断.
- 开始使用R-EPOCH化疗方案.
主要成果:
- 鉴定出一个大的心内质量,从右心房延伸到冠状动脉鼻腔.
- 活检证实了扩散性B细胞淋巴瘤.
- 患者开始接受修复剂,埃托波西德,温克里斯,环胺和多克索鲁比 (R-EPOCH) 的化疗.
结论:
- 多模式成像对于评估心内质量至关重要.
- 扩散的B细胞淋巴瘤可以呈现为心内质量.
- R-EPOCH化疗是一种可行的心脏淋巴瘤治疗选择.
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