| 摘要: |
| 目的 探讨原发心脏血管瘤的临床特征及病理形态特征。方法 回顾性收集2015年至2021年原发心脏血管瘤存档切片，整理相关病史资料、治疗经过，复习组织病理形态，并进行随访。结果 共获得23例原发心脏血管瘤病例资料。男性11例，女性12例。年龄17～71岁。单发病灶22例，多发病灶1例。来源于心腔内10例，心脏表面13例。肿瘤最大径为1.0～11.3 cm。组织形态上，海绵状成分为主的血管瘤18例，毛细血管瘤成分为主的4例，另有一些少见细胞形态和生长模式。病灶均完整手术切除，随访时间8～88个月，患者均存活、无复发。结论 心脏血管瘤以单发为主，起病隐匿，常伴有心包积液，预后较好。组织学以海绵状形态为主，可出现少见细胞形态，有潜在误诊的风险。 |
| 关键词: 心脏血管瘤 海绵状 毛细血管瘤 |
| DOI：10.12025/j.issn.1008-6358.2023.20222303 |
| 分类号: |
| 基金项目:上海市临床重点专科建设项目(shslczdzk01302)，上海市科学技术委员会科研计划项目(19MC1911000). |
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| Clinicopathological analysis of cardiac hemangioma |
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ZHU Na, GE Xiao-wen, YAO Jia-mei, LIU Ya-lan, HOU Ying-yong
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Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
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| Abstract: |
| Objective To explore the clinical and pathological features of primary cardiac hemangioma. Methods The archived slices of primary cardiac hemangioma from 2015 to 2021 were retrospectively collected, the histopathological morphology was reviewed, the relevant medical history data, treatment process, and follow-up were analyzed. Results A total of 23 primary cardiac hemangiomas were obtained. There were 11 males and 12 females. The age range was 17-71 years old. There were 22 cases of single lesion and 1 case of multiple lesions. Ten cases originated from the heart cavity, and 13 from the surface of the heart. The maximum diameter of the tumor is 1.0-11.3 cm. Histologically, there were 18 cases of hemangioma with mainly cavernous elements, and 4 cases with mainly capillary features. In addition, unusual cell morphology and growth patterns were seen. All patients underwent complete surgical resection and were followed up for 8-88 months. All patients survived without recurrence. Conclusions Cardiac hemangiomas are mainly single, with insidious onset, often accompanied by pericardial effusion, and have a good prognosis. Histology is dominated by cavernous morphology, and rare morphological variants may occur, posing a potential risk of misdiagnosis. |
| Key words: cardiac hemangioma cavernous capillary hemangioma |
