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临床资料女性,45岁,双下肢浮肿半年,心脏彩超发现右心室肿块进行性增大而收治入院,术中见右心室一巨大肿块10cm×6cm×5cm,连于室间隔右侧壁。其他脏器未查及占位性病变。病理检查肉眼表现:结节2枚,8cm×4cm×3.5cm,5cm×4cm×3cm,表面光滑,切面灰白灰褐色,隐约可见细条索状纹理,组织质韧,部份区域呈均质半透明状。镜下表现:肿瘤由梭形细胞、软骨样细胞和少量粘液样细胞等成份构成。梭形细胞胞浆丰富,红染,核呈短梭形或不规则形,染色深,可见核仁,呈编织状排列,病理性核分裂相
Clinical data Females, 45 years old, had edema of both lower extremities for half a year. The color of the right ventricle was found to be progressively increased and admitted to the hospital. During the operation, a massive mass of 10 cm x 6 cm x 5 cm in the right ventricle was seen, and was connected to the right side wall of the interventricular septum. Other organs did not check for lesions. Pathological examination of the naked eye: nodules 2, 8cm × 4cm × 3.5cm, 5cm × 4cm × 3cm, smooth surface, cut grayish gray brown, vaguely visible thin cord texture, tough tissue, homogenous translucency in some areas shape. Microscopic appearance: The tumor consists of spindle cells, cartilage-like cells, and a small amount of mucinous cells. Spindle cells are abundant in cytoplasm, red stained, and the nucleus is of short spindle or irregular shape with deep staining. The nucleolus are visible and arranged in a braided manner. Pathological mitotic phase