Mesh : Humans Cardiac Papillary Fibroelastoma Echocardiography, Transesophageal Fibroma / pathology Heart Neoplasms / diagnostic imaging pathology Mitral Valve / diagnostic imaging surgery pathology Male Female Middle Aged Aged Aged, 80 and over

来  源:   DOI:10.1016/j.amjcard.2023.07.030   PDF(Pubmed)

Abstract:
Papillary fibroelastomas are benign masses often originating from the endocardium of the aortic and mitral valves. Rarely, these neoplasms are found in areas of the heart embryonically distinct from the aortic and mitral valves. Diagnosis of a papillary fibroelastoma relies on multimodal imaging as well as histologic assessment. A case series of papillary fibroelastomas in unusual locations is presented, highlighting the role of multimodal imaging techniques in identifying these intra-cardiac masses. Differential diagnoses, imaging characteristics, histopathology, and preferred management strategies for cardiac masses are reviewed. The unique imaging qualities of cardiac masses are discussed.
摘要:
乳头状纤维弹性瘤是良性肿块,通常起源于主动脉瓣和二尖瓣的心内膜。很少,这些肿瘤存在于心脏胚胎区,与主动脉瓣和二尖瓣不同。乳头状纤维弹性瘤的诊断依赖于多模态成像以及组织学评估。介绍了一系列异常位置的乳头状纤维弹性瘤,强调多模式成像技术在识别这些心脏内肿块中的作用。鉴别诊断,成像特性,组织病理学,并回顾了心脏肿块的首选管理策略。讨论了心脏肿块的独特成像质量。
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