心脏也能长肿瘤?罕见却很危险

xinbo

2020年12月08日08:02  来源:人民网-科普中国
 

shenme?xinzangyenengzhangzhongliu?shide,nimeiyoutingcuo,zuoweiyizhonghanjiandeshitiliu,duoshurenweishuzhi。

什么是心脏肿瘤?

xinzangzhongliushishengzhangzaixinjihuoqilinjinzuzhidexinshengwu,kefenweiyuanfaxingxinzangzhongliu(primary cardiac tumor, pct)hezhuanyixingxinzangzhongliu(metastatic cardiac tumor, mct),yibanyiyishangxinzangzhongliuduozhiyuanfaxingxinzangzhongliu。

原发性心脏肿瘤的类型

guojiaizhengyanjiujigou(international agency for research on cancer, iarc)2015nianfabudi4ban《whofei、xiongxianhexinzangzhongliufenlei》zongtijiangyuanfaxingxinzangzhongliufenweixinzangzhongliuhexinbaozhongliuliangbufen。ruxiatusuoshi:

tu:xinzangzhongliudeleixing

yishanggeleixingzhong,xinjizhanyeliushizuichangjiandeyuanfaxingxinzangzhongliu,zhan61%~83%;rutouyangdanxingxianweiliuzhanyuanfaxingxinzangzhongliude12.7%~24.2%,zaiyuanfaxingxinzangzhongliuzhongfabinglvjudi2wei;xinzanghengwenjiliushiyingyouerzuichangjiandeyuanfaxingxinzangliangxingzhongliu,zaiertongyuanfaxingxinzangzhongliuzhongfashenglvchaoguo60%。yuanfaxingxinzangexingzhongliuhenshaojian,binglileixingyirouliuweizhu,qizhongxueguanrouliuzuichangjian(43.4%)。qitaleixingxinzangzhongliuyishaojian。

原发性心脏肿瘤的临床表现

yuanfaxingxinzangzhongliuhuanzhedelinchuangbiaoxianduozhongduoyang,quefateyixing,qizhengzhuangyuzhongliudeshengzhangbuwei、daxiao、qinxili、huodongduheshengzhangsudujishifoufashengtuoluo、chuxue、huaisidengyinsumiqiexiangguan。huanzhezaoqichangwulinchuangzhengzhuang,suizhezhongliudeshengzhang、jinrun,chuxianxiangyingdelinchuangbiaoxian,zhuyaoweichongxuexingxinlishuaijie、shuansai、xinlvshichang、xinbaojiye、quanshenmianyifanyingdeng。

原发性心脏肿瘤的诊断

yuanfaxingxinzangzhongliudezhenduanfangfazhuyaoyouyixiajizhong:

1、chaoshengxindongtu

2、xinzangmriyupet/ct

3、guanmaizaoying

4、xinbaoyefenxi

5、xinjizuzhihuojian

原发性心脏肿瘤的治疗

1、shoushu

xinzangzhongliudezhiliaozhuyaoyiwaikeshoushuweizhu。shoushuduiyuyuanfaxingliangxingxinzangzhongliudeliaoxiaoqueqie,yuhoulianghao。danshiduiyuyuanfaxingxinzangexingzhongliuxiaoguojiaocha,waikeshoushuzhikegaishanduanqiyuhou。

2、yaowu

linchuangshangyuanfaxingxinzangzhongliudezhiliaoyaowujiaoshao,ruduiyubufuheshoushuzhizhengdexinzanghengwenjiliukecaiyongmtoryizhijizhiliao,ruleipameisu、xiluomosiheyiweimosideng。

3、zongheliaofa

muqianduiyuanfaxingxinzangexingzhongliudezhiliaoquxiangyushoushu、fangliao、hualiaoxiangjiehedezonghezhiliao。rushoushu+fangliao+duoroubixing/yihuanlinxiananhuojixitabin/duoxizishanchunzhiliaoxinzangrouliu。

xinjizuoweirentizaishengnenglijiaochadezuzhi,zhongliufashenglvjiaodi。yidanfashenglinchuangbiaoxianquefateyixing,changzaitijianhuoyinqitajibingxingyingxiangxuejianchashiyiwaifaxian。ruguonengdedaozaoqizhenduan,daduoshuliangxingzhongliutongguowaikeshoushuzhiliaokezhiyu。yinci,zaofaxian、zaozhenduan、zaozhiliaoshigaibianyuanfaxingxinzangzhongliuhuanzheyuhoudeguanjian。

本文由上海市第六人民医院药剂科副主任药师张剑萍进行科学性把关。

“达医晓护”供稿

(责编:李慧博、杨鸿光)
 

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