原发性心脏及心包恶性肿瘤的诊治(附9例报告)

Diagnosis and treatment of primary malignant tumors of heart and pericardium (Report 9 cases)

目的 :探讨原发性心脏及心包恶性肿瘤的诊断和治疗方法。方法 :回顾性分析近 10年收治的 9例原发性心脏及心包恶性肿瘤患者的临床资料 ,并结合文献复习。结果 :经胸部 X线、超声心动图 (U CG)、磁共振成像(MRI)等检查 ,并经病理学检查确定诊断 ,所有病例均行手术治疗 ,4例行开胸探查 ,4例行肿瘤根治切除术 ,1例行肿瘤局部切除。术后早期死亡 1例 ,其余病例均于术后 4年内因病情加重、肿瘤复发和 (或 )转移死亡。结论 :UCG对心腔内肿瘤 ,MRI对心壁及心包肿瘤诊断价值较大 ;确诊仍需依靠病理学检查 ;早期诊断 ,早期手术治疗 ,可能延长患者生命。

Objective:To study the diagnosis and therapy of primary maligmant tumors of heart and pericardium. Method:Analysis the clinical data of 6 patients with malignant cardiac tumor and 3 patients with prim ary malignant pericardical mesothelioma admitted to the department of cardiac surgery between 1989 and 1999,review of the literatures.Result:The plain chest X ray,echocardiography and magnetic resonance imaging (MRI) were utilized as diagnostic modalities and pathological classification of the tumors was made by histological examination.Radical resection of tumor was performed in 4 cases,partial resection in 1 case,thoracotomy and cardiac exploration in 4 cases.One patient died early after operation,and the other 8 patients died due to maliguant fumor recurrence or metastasis with in 4 years after operation.Conclusion:Echocardiography and MRI are helpful and reliable in diagnosis of primary malignant tumors of heart and of pricardium but accurate diagnosis is only made by histological examination.Earlier diagnosis and early operation can prolong life.