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Cardiac Tamponade Caused by Primary Synovial Sarcoma of the Pericardium: A Case Report

原發性心包膜滑膜肉瘤所造成的心包填塞:病例報告

摘要


A primary synovial sarcoma of the pericardium is extremely rare. Here, we report a case of a 47-year-old man who was admitted with sudden onset of chest pain and shortness of breath. Computed tomography and epicardial echocardiography showed a large pericardial mass located predominantly at the rostral portion of the left atrium. He was considered to have cardiac tamponade caused by the pericardial tumor, and he was urgently treated with surgical excision under careful general anesthesia. A subsequent histological analysis confirmed the diagnosis of a primary pericardial synovial sarcoma. In conclusion, we presented an extremely rare case of a primary pericardial synovial sarcoma.

並列摘要


心包膜的原發性滑膜肉瘤是極其罕見的。我們報告了一位47歲男性因為突發性胸痛和呼吸急促而急診入院的病例。經由電腦斷層掃描和胸前心臟超音波檢查,我們在左心房二尖瓣的位置發現了一個明顯的巨大心包膜腫瘤。該病患因此被診斷為心包膜腫瘤所造成的心包填塞,並且立即在全身麻醉之下進行手術切除治療。隨後的組織學分析證實為原發性心包膜滑膜肉瘤。

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