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原发性心脏肉瘤的CT和超声心动图影像特征分析 |
程莉莎1, 张世龙2, 戴辰晨3, 蒋英英4, 周宇红2, 王志明1,2
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1.复旦大学附属中山医院厦门医院肿瘤内科, 厦门 361015;2.复旦大学附属中山医院肿瘤内科, 上海 200032;3.复旦大学附属中山医院放射科, 上海 200032;4.复旦大学附属中山医院超声科, 上海 200032
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摘要: |
目的: 探讨原发性心脏肉瘤的CT和超声心动图特征。方法: 收集2010年1月至2020年1月复旦大学附属中山医院和复旦大学附属中山医院厦门医院经术后病理确诊的原发性心脏肉瘤病例19例,回顾性分析其CT、超声心动图特征。结果: 19例患者中,男性10例,女性9例,年龄33~68岁,中位年龄48岁。原发性心脏血管肉瘤14例,CT平扫表现为低密度,增强后不均匀强化,可见絮状、网状血管影;心脏超声呈中低回声,瘤体形态固定,无活动度。原发性心脏滑膜肉瘤4例,CT平扫呈分布不均的低密度影,增强后中度强化,肿块与周围组织分界不清;心脏超声呈中低回声,边界模糊,瘤体无活动度。原发性心脏未分化肉瘤1例,CT可见肿块呈中低密度影,密度欠均匀,轻度强化;心脏超声呈团块样中等回声、形状不规则,位置固定,活动度弱。结论: 原发性心脏肉瘤的CT增强有一定强化,超声心动图提示中低回声、无活动度肿块。CT联合超声心动图有助于原发性心脏肉瘤的初步诊断。 |
关键词: 原发性心脏肉瘤 计算机体层成像 超声心动图 |
DOI:10.12025/j.issn.1008-6358.2021.20210939 |
分类号:R732.1 |
基金项目:厦门市科技计划指导性项目(3502Z20199127,3502Z20214ZD1061). |
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Analysis of CT and ultrasound imaging features of primary cardiac sarcoma |
CHENG Li-sha1, ZHANG Shi-long2, DAI Chen-chen3, JIANG Ying-ying4, ZHOU Yu-hong2, WANG Zhi-ming1,2
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1.Department of Medical Oncology, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen 361015, Fujian, China;2.Department of Medical Oncology, Zhongshan Hospital, Fudan University, Shanghai 200032, China;3.Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China;4.Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China
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Abstract: |
Objective: To explore the CT and echocardiographic features of primary cardiac sarcoma (PCS).Methods: 19 patients with PCS diagnosed by operation and pathology in Xiamen Branch hospital and Zhongshan Hospital, Fudan University from January 2010 to January 2020 were included and the characteristics of CT and echocardiography were retrospectively analyzed.Results: Among the 19 patients, there were 10 males and 9 females, aged from 33 to 68 years, with a median age of 48 years.14 patients had primary cardiac angiosarcoma, CT plain scan showed low density, the enhanced scan showed uneven enhancement, with visible flocculent and reticulated vascular shadow. The echocardiogram showed medium and low echoes of varying sizes, with a fixed tumor shape and no mobility. In 4 cases of primary cardiac synovial sarcoma, CT plain scan showed uneven distribution of low density shadows, with moderate enhancement after enhanced scanning, and the boundary between the mass and surrounding tissues was unclear. The echocardiogram showed medium and low echo, blurred borders, and no mobility of the tumor. In one case of primary cardiac undifferentiated sarcoma, CT showed that the mass was medium to low density, with uneven density and mild enhancement. The echocardiogram showed a mass of moderate echo, irregular shape, fixed position, and low mobility.Conclusions: CT enhancement of the primary cardiac sarcoma is enhanced to a certain extent. Echocardiography shows mass with moderate to low echo and low mobility. CT combined with echocardiography is helpful for the initial diagnosis of primary cardiac sarcoma. |
Key words: primary cardiac sarcoma computed tomography echocardiography |