Primary Cardiac Tumors: Report of Two Cases

原發性心臟腫瘤：兩病例報告

洪吉志(Jyi-Jyh Hung) ； 陳世杰(Shyh-Jye Chen) ； 李瑤華(Yiu-Wah Li) ； 徐劍耀(JaneChien-Yao Hsu) ； 呂鴻塞(Hung-Chi Lue)

《中華放射線醫學雜誌》 24卷1期 (1999/02) Pp. 27-30

摘要

小兒之原發性心臟腫瘤相當罕見，在此篇病例報告中，我們發表兩位有原發性心臟腫瘤之案例，經由超音波、電腦斷層、磁振造影及心導管攝影檢查，而有臨床上初步的診斷，此兩例都接受手術治療並有病理診斷。臨床上，非侵襲的超音波檢查可先用來決定腫瘤的位置及範圍以評估開刀的可行性，而電腦斷層和磁振造影可以在開刀前就可以給我們腫瘤有關的特性，用以決定開刀的方式或種類，例如，動態性之電腦斷層攝影或磁振造影可幫助我們評估腫瘤的血管含量，以做為術前之參考，並降低術中出血之危險性。

關鍵字

原發性心臟腫瘤 ； 電腦斷層 ； 磁振造影 ； 動態性檢查

並列摘要

Primary cardiac tumors in children are extremely rare. In this case report, two children with primary cardiac tumors are presented. The diagnosis was made based on the clinical manifestations such as heart murmur and imaging studies including sonography, computed tomography (CT), magnetic resonance (MRI) imnging, and cardiac catheterization. Pathological confirmation was made after surgical intervention and the post-op courses were smooth in these two patients. Dynamic CT and MR studies were performed in both cases and showed a hypervascular pattern in immediate and delayed scanning indicating vascular components within the tumors. Two-dimensional echocardiography is the primary non-invasive tool to determine the extent and location of the tumor. CT and MRI can give us further information about tumor characteristics before biopsy and surgery.

並列關鍵字

Heart neoplasm ； Computed tomography CT ； Magnetic resonance imaging MRI ； Dynamic study