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原发性左心房恶性肿瘤的临床分析

Clinical Analysis of Primary Left Atrial Malignant Tumor
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摘要 目的分析原发性左心房恶性肿瘤的临床效果。方法选取2018年8月期间患有脑梗死并左心房肿瘤的患者1例为研究对象,分析患者临床及病理资料。结果患者左心房大片坏死组织周围存在少量恶性肿瘤,但无明确表明肿瘤分型。结论人体的肝脏、心脏、肾脏都可能发生占位性病变,其中心脏占位性病变比较高发,现阶段对于任何心脏恶性肿瘤术前、术后抗癌治疗方案的制定,肿瘤的病理分型是至关重要的,心脏恶性肿瘤术后早期的化疗,可以延长患者术后的生存时间。作为增殖细胞相关的核抗原,Ki-67主要用来判断肿瘤的恶性程度,Ki-67的值越高,说明细胞增生越活跃,肿瘤生长越快,组织分化越差,对化疗也越敏感。 Objective To analyze the clinical effect of primary left atrial malignant tumor.Methods A patient with cerebral infarction and left atrial tumor in August 2018 was selected as the study object to analyze the clinical and pathological data.Results A small amount of degenerated malignant tumor tissue was found around the large necrotic tissue of the left atrium,but there was no clear tumor type.Conclusion The liver,heart and kidney of human body may have space occupying lesions,in which the heart space occupying lesions are relatively high.At present,the pathological classification of the tumors is very important for the formulation of the preoperative and postoperative anti-cancer treatment plan of any cardiac malignant tumor.The early chemotherapy after the operation of cardiac malignant tumor can prolong the survival time of the patients.As the nuclear antigen related to proliferating cells,Ki-67 is mainly used to judge the malignant degree of tumor.The higher the value of Ki-67,the more active the cell proliferation,the faster the tumor growth,the worse the tissue differentiation,and the more sensitive it is to chemotherapy.
作者 朴雄 许钦琦 张莲美 李星云 PU Xiong;XU Qinqi;ZHANG Lianmei;LI Xingyun(Department of Cardiovascular Surgery,Yanbian University Hospital,Yanji Jilin 133000,China)
出处 《中国卫生标准管理》 2021年第5期92-94,共3页 China Health Standard Management
关键词 心脏原发性肿瘤 左心房 血流动力学 发病机制 心脏黏液瘤 临床效果 cardiac primary tumor left atrium hemodynamics pathogenesis cardiac myxoma clinical effect
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