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心脏原发炎性肌纤维母细胞瘤1例 被引量：3

Cardiac primary inflammatory myofibroblastic tumor:a case report
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摘要 对2017年10月首都医科大学附属北京安贞医院小儿心脏科收治的1例炎性肌纤维母细胞瘤患儿的临床资料进行回顾性分析.患儿,男,6个月,体质量7kg;临床特点表现为哭闹不安,实验室检查示白细胞计数升高、血红蛋白降低、血小板增多、红细胞沉降率加快;查体:可闻及胸骨左缘Ⅰ~Ⅱ/6级收缩期杂音;超声心动图提示右心房占位.于全身麻醉体外循环下行右心房肿物次全切除术.组织学检查及免疫组织化学结果提示炎性肌纤维母细胞瘤.术后1周肿瘤复发,予口服克拉霉素2个月,术后1个月复查右心房肿瘤趋于稳定,术后10个月复查右心房肿瘤消失.提示病理检查是炎性肌纤维母细胞瘤诊断的金标准;手术切除是治疗的关键,术后需进行严密随访;对于局部侵袭性和复发性肿瘤,大环内酯类抗生素的抗炎免疫调节作用可能具有潜在益处.
作者 李伟 梁永梅 莫莹 范祥明 金梅 Li Wei;Liang Yongmei;Mo Ying;Fan Xiangming;Jin Mei(Department of Pediatric Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China)
机构地区 首都医科大学附属北京安贞医院
出处 《中华实用儿科临床杂志》 CSCD 北大核心 2019年第22期1745-1747,共3页 Chinese Journal of Applied Clinical Pediatrics
关键词 炎性肌纤维母细胞瘤 心脏 原发 外科手术 克拉霉素
分类号 R73 [医药卫生—肿瘤]
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共引文献6

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中华实用儿科临床杂志
2019年 第22期

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