心脏继发性恶性肿瘤的超声诊断及病理分析

发布时间：2018-12-14 01:07

【摘要】：目的探讨超声心动图对心脏继发性恶性肿瘤的诊断价值。方法对35例心脏继发性恶性肿瘤患者,进行声像图回顾性分析,并与术中所见及原发癌病理结果进行对比。结果 (1)所有患者中,除3例超声考虑为良性肿瘤,其余均诊断为恶性,超声定性诊断符合率为91.4%(32/35);(2)肺癌是转移到心脏最多见的肿瘤,占54.3%(19/35);(3)心包腔是转移癌最易累及的部位,占71.4%(25/35);(4)肺癌易转移到心包及左心房,肝癌和肾癌转移到心脏均累及右心。结论超声心动图对大部分心脏继发性恶性肿瘤均能作出定性及鉴别诊断,并推断其原发灶,为临床明确原发病及制订治疗方案提供重要信息。
[Abstract]:Objective to evaluate the value of echocardiography in the diagnosis of cardiac secondary malignant tumor. Methods 35 patients with cardiac secondary malignant tumor were retrospectively analyzed by sonogram and compared with the pathological results of intraoperative and primary cancer. Results (1) all the patients were diagnosed as malignant except 3 cases considered benign by ultrasound. The coincidence rate of qualitative diagnosis was 91.4% (32 / 35). (2) Lung cancer was the most common tumor in the heart, accounting for 54.3% (19 / 35); (3) of the tumors, and the pericardial cavity was the most easily involved site, accounting for 71.4% (25 / 35); (4) Lung cancer is easy to metastasize to the pericardium and left atrium, and liver cancer and renal carcinoma to the right heart. Conclusion Echocardiography can make qualitative and differential diagnosis for most cardiac secondary malignant tumors and infer its primary lesions, which provides important information for clinical diagnosis and treatment.
【作者单位】：第三军医大学新桥医院超声诊断科;
【分类号】：R445.1;R732.1

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