心房黏液瘤15例临床及病理学分析  

Atrial myxoma： a clinical and pathologic analysis

作　　者：芮俊[1] 杨树东[1] 周志毅[1] 

机构地区：[1]江苏无锡市人民医院病理科,214023

出　　处：《中华全科医师杂志》2010年第5期338-340,共3页Chinese Journal of General Practitioners

摘　　要：回顾性分析2001年5月至2008年12月我院共收治的15例心房黏液瘤患者的临床及病理资料。15例患者均有不同程度的活动后胸闷、心悸、气短等酷似二尖瓣病变的肺瘀血症状，其中3例瘤体脱落发生体循环及肺循环的栓塞，1例出现突然昏厥。X线及超声心动图检查均能及时发现黏液瘤。确诊依靠组织病理学检查。本组随访6个月～6年，1例复发。该病一旦确诊，应立即手术治疗，瘤蒂切除要彻底，防止肿瘤复发。Fifteen cases with atrial myxoma in our hospital from May 2001 to Dec 2008 were retrospectively analyzed. Patients presented with a variety of symptoms mimicking mitral valve disease, including palpitation, shortness of breath and activity intolerance. Pulmonary and systemic embolizations occurred in three patients and sudden syncope in one. Radiograph and eehocardiography can help to reveal atrial myxoma. Definite diagnosis was made based on histological examinations. In 6 months - 6 years＇ follow-up one case recurred. Surgical treatment should be prompted once diagnosis established. Tumor pedicle must be completely removed to prevent recurrence.

关 键 词：黏液瘤 心房 

分 类 号：R732.1[医药卫生—肿瘤]