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乳头肌肉的多模式成像 - - 源于左心室肌瘤

Lei Liu¹, Ling Chen², Hui Chen¹

¹Department of Ultrasound Medicine, Nanjing University Medical School Affiliated Nanjing Drum Tower Hospital, Nanjing, China; Medical Image Center, Nanjing University Medical School Affiliated Nanjing Drum Tower Hospital, Nanjing, China.

JACC. Case reports

|October 7, 2025

概括

心脏肌瘤很少在心室中发生. 多模式成像对于诊断这些罕见的腹腔肌瘤和区分它们与恶性瘤至关重要,避免不必要的手术.

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:

心脏肌瘤通常发生在左心房,心室发生很少 (3-4%的病例).
心脏肌瘤的伪侵入性生长模式可以模仿恶性瘤,使诊断复杂化.
腹腔神经瘤存在独特的诊断挑战,因为它们的稀有性和错误诊断的可能性.

研究的目的:

突出综合成像技术对心室心肌瘤的诊断实用性.
为了区分良性,伪侵入性肌瘤和恶性心脏瘤.
强调准确诊断的重要性,以指导心室质量的外科治疗.

主要方法:

一份病例报告显示,一名49岁的男性患有无症状的左心室质量.
运用跨胸部心声学,计算机断层扫描 (CT),心磁共振成像 (CMR) 和正子发射断层扫描/计算机断层扫描 (PET/CT) 进行质量表征.
亚总切除后的组织病理学检查证实了具有伪侵入性特征的良性菌瘤.

主要成果:

心声检查发现左心室质量为27.5 × 16.5毫米.
CT显示低密度边缘 (54 HU),CMR显示同质的T2高强度与延迟增强,PET/CT显示中度代谢活性 (SUVmax = 7.8).
组织病理学证实了一种良性肌瘤住了乳头肌肉,在亚总切除过程中成功保存了 mitra .

结论:

综合多式成像对于诊断心脏瘤在心室等非典型位置至关重要.
在心室肌瘤中识别良性伪侵入性模式是避免侵略性手术干预的关键.
精确的基于成像的差异化增强了心室质量的诊断策略,改善了患者的治疗结果.

关键词:

科尔代肌科科尔代肌科多模式成像技术多模式成像技术我的xomax是什么意思伪侵袭性的伪侵袭性跨胸腔心脏回声学 (Transthoracic Echocardiography) 是一种心脏回声学.

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