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首页> 外文期刊>Nature clinical practice. Oncology >Improved outcome with multimodality therapy in primary cardiac angiosarcoma.
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Improved outcome with multimodality therapy in primary cardiac angiosarcoma.

机译:多模式疗法改善原发性心脏血管肉瘤的疗效。

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BACKGROUND: A 37-year-old man presented with a history of hemoptysis and associated fever, chills, night sweats, and weight loss. The patient had no other pertinent past medical history. INVESTIGATIONS: Physical examination, CT scan, transesophageal echocardiogram, electrocardiogram, MRI scan, and immunohistochemical staining of tumor biopsy. DIAGNOSIS: Primary cardiac angiosarcoma of the right atrium with systemic metastases to the pericardium, superior vena cava, and lungs. MANAGEMENT: Neoadjuvant and adjuvant chemotherapy with doxorubicin and complete surgical resection of the tumor with reconstruction of the right atrium using bovine pericardium.
机译:背景:一位37岁的男性患者有咯血病史,伴有发烧,发冷,盗汗和体重减轻的病史。该患者没有其他相关的既往病史。调查:体格检查,CT扫描,经食道超声心动图,心电图,MRI扫描和肿瘤活检的免疫组织化学染色。诊断:右心房的原发性心脏血管肉瘤伴有心包,上腔静脉和肺的全身转移。处理:阿霉素的新辅助和辅助化学疗法以及使用牛心包重建右心房的肿瘤的完整手术切除。

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