Percutaneous intravenous catheter forceps biopsy in right atrial mass: two case reports and literature review.
Percutaneous intravenous catheter forceps biopsy in right atrial mass: two case reports and literature review.
复制标题
右心房肿块经皮静脉导管钳活检二例并文献复习
DOI：
10.1186/s12872-022-02507-x
复制
发表时间：
2022-02-20
影响因子：
2.1
通讯作者：
Xu B
中科院分区：
文献类型：
--
作者：
Chang L;Gong C;Lu H;Liu Y;Kang L;Chen J;Wang L;Xu B
研究背景原发性心脏恶性肿瘤少见。虽然术前组织学诊断是困难的，但它在治疗策略的制定和预后评估中具有重要价值。本文报告2例心内肿瘤。病例介绍两例患者均以心脏相关症状就诊。超声心动图显示心房内有巨大肿块，正电子发射断层扫描-计算机断层扫描（PET/CT）显示高代谢和侵入性。1例患者因广泛转移和病情不佳而无法手术。另1例患者最初诊断为淋巴瘤，不建议手术。他们成功地进行了静脉心房活检，组织学样本证实内膜肉瘤和弥漫性大B细胞淋巴瘤。免疫组化和分子评估的基础上，有针对性的化疗，导致临床和影像学缓解在dischar.ConclusionsPercutaneous静脉导管活检作为一种安全的侵入性测试提供了一个准确的病理诊断后，影像学评估，并提供了一个治疗方向。心房内非恶性肿块及部分放化疗敏感的恶性肿瘤经靶向治疗后预后良好。
BackgroundPrimary malignant tumors of the heart are rare. Although preoperative histological diagnosis is difficult, it has paramount value in therapeutic strategy development and prognostic estimation. Herein, we reported 2 cases of intracardiac tumors.Cases presentationBoth patients presented to the hospital with heart-related symptoms. Echocardiography showed massive masses in the atrium and positron emission tomography–computed tomography (PET/CT) revealed hypermetabolism and invasiveness. One patient cannot take surgery due to extensive metastasis and poor condition. The other patient was primarily diagnosed with lymphoma, and surgery was not recommended. They successfully underwent intravenous atrial biopsy, and histological samples confirmed intimal sarcoma and diffuse large B cell lymphoma. Based on immunohistochemical and molecular assessments, targeted chemotherapy was administered, resulting in clinical and imaging remission at discharge.ConclusionsPercutaneous intravenous catheter biopsy as a safe invasive test provides an accurate pathological diagnosis after imaging evaluation, and offers a therapeutic direction. Nonmalignant masses and some chemo-radiosensitive malignant tumors in the atrium could have good prognosis after targeted therapy.
影响因子：
2.1
作者：
Kuppahally SS;Litwin SE;Michaels AD
通讯作者：
Michaels AD
影响因子：
2.9
作者：
Park KI;Kim MJ;Oh JK;Lee JH;Park JH;Choi SW;Jeong JO;Seong IW
通讯作者：
Seong IW