UNASSIGNED: We encountered a case of a 9-year-old boy with a 3.5 cm diameter neoplasm in the right atrium. Preoperative imaging diagnosis could not determine the nature of the tumor, and the initial clinical suspicion of cardiac myxoma. After admission, a cardiotomy to remove foreign bodies and a pulmonary artery thrombectomy were performed.
UNASSIGNED: Idiopathic cardiac osseous metaplasia is relatively rare, and it is even rarer to be accompanied by a Chiari network in the right atrium. Due to the location and characteristics of the lesion in this case, it is easy to be misdiagnosed as atrial myxoma in clinical practice. Whether it is idiopathic osseous metaplasia or myxoma, it needs to be performed surgical treatment and pathological examination can easily rule out the diagnosis of myxoma. However, as idiopathic cardiac metaplasia is difficult to encounter in clinical work and there are few reports in the literature, clinicians and pathologists need to consult more relevant literature. Learn to understand and master the disease through multi-party consultation.
■我们遇到了一个9岁男孩,右心房直径3.5厘米的肿瘤。术前影像学诊断不能确定肿瘤的性质,和最初的临床怀疑心脏粘液瘤。入院后,进行了心脏切开术以去除异物和肺动脉血栓切除术。
■特发性心脏骨化生相对罕见,在右心房有Chiari网络陪伴的情况更为罕见。由于这种情况下病变的位置和特征,临床上易误诊为心房粘液瘤。无论是特发性骨化生还是粘液瘤,它需要进行手术治疗和病理检查可以很容易地排除粘液瘤的诊断。然而,由于特发性心脏上皮化生在临床工作中很难遇到,文献报道较少,临床医生和病理学家需要查阅更多相关文献.通过多方咨询学会了解和掌握疾病。