Primary cardiac and pericardial tumors.
Primary cardiac and pericardial tumors.
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原发性心脏和心包肿瘤。
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
Luis F Rodriguez
中科院分区：
文献类型：
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作者：
Alexis D Rivera;Luis F Rodriguez
心脏原发肿瘤很少见，尸检报告发病率为0.001%至0.03%。几乎75%的心脏原发肿瘤是良性的，另有25%是原发恶性肿瘤。近一半的心脏良性肿瘤是粘液瘤。其他原发肿瘤包括乳头状纤维母细胞瘤、横纹肌瘤、纤维瘤、脂肪瘤和血管瘤。本文综述了原发性心脏良性肿瘤的临床、病理和诊断特点。在非常罕见的情况下，可能会遇到心脏的恶性肿瘤，例如心脏的原发肉瘤，在临床上发现的原发心脏肿瘤中，所占比例不到25%。心脏肉瘤是心脏原发恶性肿瘤最常见的组织学类型，其中血管肉瘤占33%。肉瘤在30岁到50岁之间很常见，最常累及右心房。
Primary cardiac tumors are rare, with a reported prevalence of 0.001 to 0.03% at autopsy series. Almost 75% of all primary tumors of the heart are benign, with primary malignant tumors accounting for the other 25%. Nearly half of the benign cardiac tumors are myxomas. Other primary tumors include papillary fibroelastoma, rhabdomyoma, fibroma, lipoma and hemangioma. In this review article, the clinical, pathologic and diagnostic feature of primary benign cardiac tumors is presented. In very rare occasions malignant tumors of the heart could be encounter such as primary sarcomas of the heart constituting less than 25% of primary cardiac tumors found in clinical practice. Cardiac sarcomas represent the commonest histology of primary malignant cardiac tumors, with angiosarcomas making up 33% of the cases. Sarcomas are common between the third and fifth decades of life and most frequently affect the right atrium.