论文部分内容阅读
目的探讨超声心动图对心脏继发性恶性肿瘤的诊断价值。方法对35例心脏继发性恶性肿瘤患者,进行声像图回顾性分析,并与术中所见及原发癌病理结果进行对比。结果 (1)所有患者中,除3例超声考虑为良性肿瘤,其余均诊断为恶性,超声定性诊断符合率为91.4%(32/35);(2)肺癌是转移到心脏最多见的肿瘤,占54.3%(19/35);(3)心包腔是转移癌最易累及的部位,占71.4%(25/35);(4)肺癌易转移到心包及左心房,肝癌和肾癌转移到心脏均累及右心。结论超声心动图对大部分心脏继发性恶性肿瘤均能作出定性及鉴别诊断,并推断其原发灶,为临床明确原发病及制订治疗方案提供重要信息。
Objective To investigate the diagnostic value of echocardiography for secondary malignant tumors of the heart. Methods A retrospective analysis of 35 patients with cardiac secondary malignant tumors was performed and compared with the results of intraoperative findings and primary cancer pathology. Results (1) In all patients, except for three cases of benign tumors, the others were all diagnosed as malignant. The coincidence rate of ultrasound diagnosis was 91.4% (32/35). (2) Lung cancer was the most common tumor metastasized to the heart, Accounting for 54.3% (19/35). (3) The pericardial cavity is the most frequently involved site of metastatic cancer, accounting for 71.4% (25/35). (4) Lung cancer is easily translocated to the pericardium and left atrium, and liver cancer and kidney cancer metastasize to Heart involved the right heart. Conclusions Echocardiography can make qualitative and differential diagnosis for most of the cardiac secondary malignancies, and deduce its primary tumor, which can provide important information for the clinical definite primary disease and the treatment plan.