高风险特征和计算机断层扫描-光学指导活检作为诊断工具的实用性
Abdullah H Ghunaim1, Nitish K Dhingra1, Sonja Kandel2
1Division of Cardiac Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
JACC. Case reports
|January 17, 2025
概括
左心房质量通常是瘤,但在有疑问的情况下需要活检. 计算机断层扫描指导的活检诊断出一种罕见的恶性状细胞瘤,使得迅速治疗.
科学领域:
- 心脏病学和瘤学
- 诊断成像 诊断成像 诊断成像
- 干预性放射学 干预性放射学
背景情况:
- 左心房质量经常被诊断为瘤.
- 当左心房质量的诊断不确定时,活检至关重要.
- 通过皮肤对心脏左侧瘤进行活检具有重大技术挑战.
研究的目的:
- 提出一个疑似左心房髓瘤的病例,具有有关恶性瘤的特征.
- 为了说明计算机断层扫描-光学引导的皮肤透析活检在诊断具有挑战性的左心房质量的实用性.
主要方法:
- 一名71岁的妇女,怀疑患有左心房瘤,接受了计算机断层扫描-光学指导的皮肤透析活检.
- 对活检样本进行了组织病理学分析.
主要成果:
- 活检揭示了一种恶性脊柱细胞瘤,而不是瘤.
- 这种诊断促进了早期的非手术治疗计划.
结论:
- 计算机断层扫描-光学引导的皮肤透视活检是一种可行的和有效的方法,用于诊断左心房质量,当怀疑恶性瘤.
- 精确的诊断左心房质量,即使是罕见的恶性,可以通过图像导向活检实现,可能避免侵入性手术.
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