对于具有广泛入侵的巨型心脏血管肉瘤进行心内心声导图引导的活检
Yoshitake Fukuda1, Kazufumi Nakamura1,2, Koji Nakagawa1
1Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science.
心内回声心脏成像 (ICE) 导向活检成功诊断出患有广泛侵袭的患者罕见的心脏血管瘤. 这种安全有效的方法有助于诊断具有挑战性的心脏质量.
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:
- 心脏血管肉瘤是一种罕见的,具有不良预后的侵袭性恶性瘤.
- 早期的病理诊断对于有效的治疗至关重要.
- 对于心脏质量的心内回声心脏成像 (ICE) 导向活检的实用性仍然不清楚.
研究的目的:
- 用ICE引导活检来描述巨型心脏血管肉瘤的成功诊断.
- 评估ICE指导活检在复杂心脏瘤病例中的安全性和有效性.
主要方法:
- 一名52岁的男性患者出现了一个巨大的,高血管性右心房瘤,具有广泛的入侵.
- 用心内回声心谱 (ICE) 引导的活检使用可引导的外套进行,因为其他活检方法的高出血风险.
- 用对比度增强的计算机断层扫描 (CT) 用于最初的瘤特征.
主要成果:
- 以ICE为指导的活检没有出现并发症,结果诊断为血管瘤.
- 手术切除证实了原发性心脏血管瘤局限于心周.
- 患者在接受化疗和放射治疗后,在手术后7个月活着.
结论:
- 带有可转向外的心内回声学 (ICE) 导向活检是心脏质量的安全有效诊断工具.
- 这种技术对于具有广泛入侵的恶性心脏瘤特别有价值,而其他活检方法存在更高的风险.
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