原发性心脏血管肉瘤影像学特点分析

Imaging Characteristics of Primary Cardiac Angiosarcoma

原发性心脏血管肉瘤是起源于血管内皮细胞的软组织肉瘤,其发病率无明显性别差异,早期临床表现无特异性,多数患者首次就诊时即发现心包积液。肿瘤多位于右心房及心包,超声心动图是诊断心脏血管肉瘤的首选检查方法,多模态影像学检查对心脏占位的良恶性判断及鉴别诊断有重要意义。本文回顾性分析25例病理确诊为原发心脏血管肉瘤病例的临床表现和影像学特点。

Primary cardiac angiosarcoma is a type of soft tissue sarcoma originating in vascular endothelial cells, without obvious gender differences in the incidence rate and specific early clinical manifestations, whilstpericardial effusion often found at the first presentation of most patients. Tumors are mostly located in the right atrium and pericardium. Echocardiography is the preferred examination method for diagnosing cardiac angiosarcoma and multimodal imaging is important in the diagnosis and differential diagnosis of benign and malignant cardiac mass. This article retrospectively analyzes the 25 cases of clinical manifestations and imaging features of primary cardiac angiosarcoma.