论文部分内容阅读
患者女,41岁,活动后胸闷、气短9个月,加重1个月。查体:心尖部闻及明显舒张期杂音,强度随体位而改变。超声:左心室腔内中等回声不规则团块约61mm×70mm,活动度较大,考虑黏液瘤。心脏MR:左心室侧后壁肿块,T1WI等低信号,T2WI稍高信号(图1A、1B)。PET/CT:左心室侧后壁FDG摄取增高肿块,最大标准摄取值(maxium standard uptake value,SUVmax)5.11;左心室心肌弥漫性葡萄糖代谢增高,SUVmax为18.02,心包少量积液,诊断为左心室侧后壁心脏原发恶性肿瘤(图1C)。行左心室壁肿瘤切除术,见肿瘤位于左心室侧壁,呈黄色、菜花
Female patient, 41 years old, chest tightness after activity, shortness of breath for 9 months, increased 1 month. Physical examination: apical and significant diastolic murmur, intensity changes with the position. Ultrasound: The middle echo of the left ventricular cavity irregular mass about 61mm × 70mm, greater mobility, consider myxoma. Cardiac MR: Left ventricular posterior wall mass, low signal of T1WI and slightly higher signal of T2WI (Fig. 1A, 1B). PET / CT: increased FDG uptake in left posterior wall of the left ventricle, maximum maximal standard uptake value (SUVmax) 5.11; diffuse glucose metabolism increased in left ventricular myocardium with a SUVmax of 18.02; a small amount of pericardial effusion was diagnosed as left ventricular Lateral posterior wall cardiac primary malignancies (Figure 1C). Left ventricular wall tumor resection, see the tumor located in the left ventricular wall, yellow, cauliflower