Clinical features and mid -term and long -term outcomes of surgical treatment of 8 patients with primary ventricular tumors
Chinese Journal of Clinical Oncology(2004)
摘要
Objective To summarize the clinical features and surgical treatment of primary ventricular tumors. Methods Eight patients with primary ventricular tumor, aged 3 to 52 years, underwent surgical treatment. There were 6 males and 2 females. The pathological diagnoses were as follows: multiple left ventricular myxomas in 2 cases; left ventricular rhabdomyoma, fibroma and malignant neurolemmoma in 1 case for each; right ventricular myxoma and malignant neurolemmoma in 1 case for each; intraseptal fibroma in 1 case. The operations were performed through median sternotomy with moderate hypothermic cardiopulmonary bypass in 7 cases; via left anterolateral thoracotomy without extracorporeal circulation in 1 case. Tumors were totally removed in 7 cases and subtotally resected in 1 case. Results Cardiac arrest after anaesthetization occurred in 1 case with postoperative coma for 10 days. One case died of massive gastro-intestinal hemorrhage postoperatively. Seven cases survived, During a follow-up period of 1 to 21 years, there was no recurrence or metastasis in the 6 cases who received complete tumor resection including 2 cases with malignant tumor. One case of partial tumor removal had a mild heart murmur without tumor progression. All patients were asymptomatic with cardiac function grade I. Conclusion Primary ventricular tumors showed diversity in their histological characteristics. The mid-and long-term outcomes of surgical treatment for primary ventricular tumors appear to be satisfactory.
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关键词
ventricular tumor,heart tumor,surgical treatment
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