右心室质量与内腔除:瘤还是血栓?
Ozer Kandemir1, Emre Boysan1, Renda Circi1
1Cardiovascular Surgery, Etlik Şehir Hastanesi, Ankara, TUR.
Cureus
|January 22, 2024
概括
一种罕见的转移性结肠癌病例呈现为右心室质量,最初模仿肺栓塞 (PE) 或血栓. 迅速的手术切除和组织病理学证实了瘤,强调了考虑心脏质量的恶性瘤的重要性.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 一名47岁的妇女有结肠癌病史,出现呼吸不良,并被怀疑患有肺栓塞.
- 最初的非侵入性测试表明,右心室中存在血栓.
研究的目的:
- 报告一种罕见的转移性结肠癌病例,模仿心脏血栓.
- 为了强调心脏瘤和血栓之间的差异诊断.
主要方法:
- 胸外和食道间心声学被用来评估右心室质量.
- 进行了体质的手术切除.
- 对切除的体质进行了组织病理学检查.
主要成果:
- 心声扫描显示,右心室内有一个2.7 x 4.8厘米的不动质.
- 组织病理学证实了这种质量是转移的螺旋状细胞腺癌.
- 这位患者有结肠癌的病史,在5年前接受过治疗.
结论:
- 转移性瘤可以呈现为心脏质量,挑战初步诊断.
- 区分心脏血栓和瘤对于适当的患者管理至关重要.
- 提高对这种表现的认识可以提高诊断准确性和治疗结果.
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