临床肿瘤学杂志

• 临床应用 • 上一篇    下一篇

心脏血管瘤的临床病理分析(附10例报告)

刘建英1,张真路1,陈佑平1,胡 萍2   

  1. 1 430022 武汉 武汉亚洲心脏病医院检验中心病理室2 430022 武汉亚洲心脏病医院超声中心
  • 收稿日期:2014-03-17 修回日期:2014-07-11 出版日期:2014-09-30 发布日期:2014-09-30

Report on clinical and pathological of cardiac angioma: An analysis of 10 cases

LIU Jianying, ZHANG Zhenlu, CHEN Youping, HU Ping.
  

  1. Department of Pathology, Wuhan Asian Heart Hospital, Wuhan 430022, China
  • Received:2014-03-17 Revised:2014-07-11 Online:2014-09-30 Published:2014-09-30

摘要:

目的 探讨心脏血管瘤的临床病理特征,为临床诊疗及判断预后提供依据。方法 回顾性分析本院2003年2月至2014年2月经手术治疗的10例心脏血管瘤(海绵状血管瘤5例,毛细血管瘤4例,静脉性血管瘤1例)的临床资料及组织病理学特征。结果 多数肿瘤体积小,有蒂或无蒂,表面光滑,切面可呈蜂窝状,可见充满血栓的囊腔。主要成分为良性增生的血管内皮细胞,间质可见炎性细胞浸润。术后随访6个月至3年,3例失访,其余7例患者均恢复情况良好,无复发。结论 心脏血管瘤非常罕见,好发于心包的脏层,在儿童多发生在三尖瓣,无性别差异,可发生于任何年龄。术前确诊心脏血管瘤很困难,故手术切除标本应送病理检查确诊。本病预后良好,手术切除后极少复发,术后应定期随访。

Abstract:

Objective To analyze the clinical and pathological characteristics of cardiac angioma as to facilitate the diagnosis and treatment of cardiac angioma. Methods In the retrospective study, 10 cases of cardiac angiom (4 cases of capillary, 5 cases of cavernoma and 1 case of venous) were analyzed from Feburary 2003 to Feburary 2014. Results A smooth surface was observed in all tissues of cardiac angioma with honeycomblike cross section and full of thrombus in capsulas. Some of them had a pedicle. Vascular endothelial cell was the major component of cardiac angioma. Inflammatory cells could be seen in interstitium in some specimens. Three patients were lost contact. The other 7 patients were followed-up for 6 months to 3 years. They were recovered after operation, and no recurrence was observed. Conclusion Cardiac angioma is a rare disease. It could occur at any age with the absence of sex predominance. Generally, the tumor is located on visceral pericardial in adults and on tricuspid valve in children. It is hard to diagnose cardiac angioma before surgery and the resected specimen should be collected for pathological examination. The tumor would not recur after surgery with a good prognosis. Patients should be followed regularly after surgery.

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