Mediastinal Tuberculoma Mimicking Malignant Cardiac Tumor:A Case Report  

作　　者：Yiqian Ding Wei Li Yanqiu Liu Min Ye Liangping Cheng Donghong Liu Hong Lin Fengjuan Yao 

机构地区：[1]Department of Ultrasound,The First Affi liated Hospital,Sun Yat-sen University,Guangzhou,China [2]Department of Cardiology,Center for Translational Medicine,Institute of Precision Medicine,The First Affi liated Hospital,Sun Yat-sen University,Guangzhou,China

出　　处：《Cardiovascular Innovations and Applications》2021年第2期297-300,共4页心血管创新与应用（英文）

摘　　要：Background:The clinical manifestations of cardiac masses are diverse and lack specifi city.Here we report a cardiac mass detected by transthoracic echocardiography.Multimodality imaging and pathological fi ndings after the operation confi rmed the mass as mediastinal tuberculoma.Case presentation:A 45-year-old male patient was admitted to our hospital reporting chest tightness,weight loss,and dyspnea for 3 months after exercise.Transthoracic echocardiography showed that there were a large number of pericardial effusions and a soft tissue mass measuring 7.7 cm×4.5 cm in the upper mediastinum,which oppressed the right pulmonary artery and accelerated the blood fl ow of the left pulmonary artery.Contrast-enhanced ultrasonography showed degenerative inhomogeneous high enhancement of and an unclear boundary in the mass.Contrast-enhanced chest CT revealed punctate and patchy calcifi cation in and uneven enhancement of the mass and the lymph nodes around the aortic arch.The mass was diagnosed as a malignant mediastinal tumor.Pathological analysis of the mass revealed chronic granulomatous tuberculosis.The symptoms abated signifi cantly after antituberculosis treatment.The patient remained asymptomatic during follow-up.Conclusion:This report presents a rare case of mediastinal tuberculoma mimicking a malignant cardiac tumor.Multimodality imaging should be incorporated for differentiation of cardiac masses.

关 键 词：Cardiac tumor mediastinal tuberculoma contrast-enhanced ultrasonography Modality imaging 

分 类 号：R52[医药卫生—内科学]