心脏瘤的诊断和治疗方法
Toru Imai1, Tatsunori Shimoi2, Akira Kawai3
1Department of Medical Oncology, National Cancer Center Hospital, Tsukiji 5-1-1, Chuo-ku, Tokyo, 104-0045, Japan.
Medical oncology (Northwood, London, England)
|March 17, 2025
概括
罕见但严重的心脏瘤需要准确的诊断和量身定制的治疗. 本综述涵盖了对良性和恶性心脏瘤的成像,手术和治疗方法,改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 心脏瘤是罕见的,存在诊断和治疗方面的挑战.
- 它们可以是原发性或转移性,通常是通过成像偶然发现的.
- 区分良性瘤和恶性瘤对于管理至关重要.
研究的目的:
- 审查目前对心脏瘤的诊断方法.
- 综合治疗方式,包括新疗法.
- 强调成像在瘤表征中的作用.
主要方法:
- 对诊断成像技术的审查:心声回声 (UCG),CT,MRI,PET.
- 对治疗策略的分析:手术切除,化疗,放射治疗,向治疗.
- 综合了有关初级心脏瘤和转移性心脏瘤的数据.
主要成果:
- 良性瘤 (瘤,纤维瘤) 通常有很好的结果与手术.
- 恶性瘤 (瘤,中瘤) 的预后不佳,需要积极的多式疗法.
- 转移性瘤的管理是基于原发性癌症治疗.
结论:
- 心脏瘤的管理需要一个多学科的方法.
- 基于瘤类型,位置和影响的定制策略是必不可少的.
- 多模式治疗的进步为恶性病例提供了潜在的生存改善.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
77
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
77
Tumor Immunotherapy
457
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
457
Imaging Studies for Cardiovascular System III: X-Ray
119
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
119
Imaging Studies for Cardiovascular System I:Echocardiography
280
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
280
Mechanism of Cardiac Arrhythmias
867
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
867
Heart Failure Drugs: Inotropic Agents
481
Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
481


