The diagnosis and surgical treatment for primary cardiac malignant tumors
10.3760/cma.j.issn.1001-4497.2010.01.010
- VernacularTitle:原发性心脏恶性肿瘤的诊断与治疗
- Author:
Lei YU
;
Tianxiang GU
;
Enyi SHI
;
Xiaobing WANG
;
Zongyi XIU
;
Bo WANG
- Publication Type:Journal Article
- Keywords:
Heart neoplasms;
Cardiac surgical procedures;
Mesothelioma;
Myxoma
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2010;26(1):26-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and therapy of primary maligmant tumors of the heart. Methods Clinical data of 21 patients with malignant cardiac tumors admitted to our department from June 1980 to May 2008 was analyzed and the references were reviewed. Results All patients received operations. Pathological classification of the tumors was made by histological examinations. Radical resections for 10 eases and partial resections for 5 eases were performed. The other 6 patients received only thoracotomy and cardiac exploration. Three eases were lost during follow up. Three survivors received radical resections are still alive now 2-15 months after the surgery, while all the other patients died within 4 years after the operation due to malignant tumor recurrence and (or) metastasis. Conclusion Echocardiography, CT, 3D-CT, MRI, coronary CT and angiocardiography are helpful for the diagnosis of the malignant cardiac tumors and the selection of operations. Histological examination is necessary for the final diagnosis. Early diagnosis, radical resection and post-operative radiotherapy and chemo therapy may provide a better result.
