Leiomyosarcoma of Pulmonary Vein Presenting as Left Atrial Mass: An Outline of Management Principles

PhilemonGukop; GuidoFrassetto; GeorgiosKarapanagiotidis; VenkatachalamChandrasekaran

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Leiomyosarcoma of Pulmonary Vein Presenting as Left Atrial Mass: An Outline of Management Principles

机译：表现为左心房肿块的肺静脉平滑肌肉瘤：管理原则概述

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Leiomyosarcoma of the pulmonary vein is rare and has poor prognosis. Its clinical features are nonspecific and mimic benign conditions. Early diagnosis is challenging. Most cases have been diagnosed only at autopsy or on postoperative histology specimens. Treatment is essentially palliative complete surgical excision. We outline the principles of management with the case of a 39-year-old man with leiomyosarcoma of the left pulmonary veins extending into the left atrium. Extensive investigation to achieve early diagnosis and determine extent of disease is essential. Frozen section guided adequate excision of all cardiac tumours and resection of involved lung tissue achieve local disease control. Adjuvant chemoradiotherapy has been shown to enhance survival.

机译：肺静脉平滑肌肉瘤很少见，预后较差。它的临床特征是非特异性的和模拟的良性疾病。早期诊断具有挑战性。大多数病例仅在尸检或术后组织学标本上被诊断出来。治疗本质上是姑息性完全手术切除。我们概述了一个39岁男性左肺平滑肌肉瘤延伸至左心房的病例的治疗原则。进行广泛调查以实现早期诊断并确定疾病程度至关重要。冷冻切片指导对所有心脏肿瘤进行充分切除，并切除受累肺组织以实现局部疾病控制。辅助放化疗已显示可提高生存率。

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《Case Reports in Cardiology》 |2012年第2期|共3页
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PhilemonGukop; GuidoFrassetto; GeorgiosKarapanagiotidis; VenkatachalamChandrasekaran;
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中图分类临床医学;
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1. Leiomyosarcoma of the pulmonary veins extending into the left atrium or left atrial leiomyosarcoma: multimodality therapy (letter; comment) [J] . Babatasi G, Massetti M, Galateau F, The Journal of Thoracic and Cardiovascular Surgery . 1998,第4期

机译：肺静脉平滑肌肉瘤延伸至左心房或左心房平滑肌肉瘤：多模式疗法（字母;评论）
2. Leiomyosarcoma of the pulmonary veins extending into the left atrium or left atrial leiomyosarcoma: Multimodality therapy [J] . Gerard Babatasi, Massimo Massetti, Fran?§oise Galateau, The journal of thoracic and cardiovascular surgery . 1998,第4期

机译：肺静脉平滑肌肉瘤延伸至左心房或左心房平滑肌肉瘤：多模式疗法
3. Primary pulmonary vein leiomyosarcoma presenting as left atrial mass: A case report [J] . Nezar B. El-Hassan, Ahmed A. Faragalla, Sahar Elfadil, Journal of the Egyptian Society of Cardio-Thoracic Surgery . 2017,第2期

机译：原发性肺静脉平滑肌肉瘤表现为左房包块：一例报告
4. Intraprocedural imaging of left atrial and pulmonary vein anatomy for atrial fibrillation ablation [C] . Chan R., Thiagalingam A., dAvila A., Computers in Cardiology, 2007 . 2007

机译：左房和肺静脉解剖的术中影像学检查对房颤消融
5. Evaluation of Arrhythmia Recurrence and Electrical Reconnection of the Pulmonary Veins Following Ablation Index Guided Pulmonary Vein Isolation for Persistent Atrial Fibrillation [D] . Hussein, Ahmed. 2020

机译：渗透指数后肺静脉心律失常和电重新重构的评价导引导指导肺静脉分离持续性心房颤动
6. Leiomyosarcoma of Pulmonary Vein Presenting as Left Atrial Mass: An Outline of Management Principles [O] . Philemon Gukop, Guido Frassetto, Georgios Karapanagiotidis, 2012

机译：表现为左心房肿块的肺静脉平滑肌肉瘤：管理原则概述
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Leiomyosarcoma of Pulmonary Vein Presenting as Left Atrial Mass: An Outline of Management Principles

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