[Clinical features and surgical treatment of right cardiac system tumors]

Zhonghua Yi Xue Za Zhi. 2024 May 14;104(18):1628-1630. doi: 10.3760/cma.j.cn112137-20231115-01102.
[Article in Chinese]

Abstract

A total of 25 patients with right cardiac system tumors in the Department of Cardiac Surgery, Beijing Anzhen Hospital from January 2012 to October 2022 were retrospectively included in the study. The preoperative data, and information of surgical treatment and perioperative management on these patients were analyzed and summarized. One patient developed pulmonary embolism and died before surgery, and the other 24 patients (16 males and 8 females) received surgical treatment, with an average age of (44.7±10.2) years (24-74 years). Nine patients were diagnosed with malignant tumors. Among the 24 patients who received surgical treatment, two patients died during the perioperative period, in-situ tumor recurrence was seen in three patients within about 1 year after surgery (two patients died without surgery, and one patient died 3 months after surgery), two patients had distant metastasis, and 17 patients had a good prognosis. Right cardiac system tumors are rare, with a high malignant rate, and the clinical manifestations vary greatly. Active surgical intervention is found to be effective, and the prognosis is closely related to the pathological type and extent of tumor invasion.

回顾性分析2012年1月至2022年10月北京安贞医院心脏外科25例右心系统肿瘤患者临床资料,结合患者术前资料、手术治疗及围手术期处理进行分析总结。25例患者中1例术前出现肺栓塞,术前死亡,其余24例患者均接受手术治疗,其中男16例,女8例,年龄24~74(44.7±10.2)岁,恶性肿瘤9例。接受手术治疗的24例患者中,2例围手术期死亡,3例术后1年左右原位复发(其中2例未手术死亡,1例再次手术治疗,术后3个月死亡),2例患者出现远处转移,17例患者预后良好。右心系统肿瘤较为少见,恶性率高,临床表现差异很大,预后与肿瘤病理类型及侵及范围密切相关。.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Female
  • Heart Neoplasms* / surgery
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Prognosis
  • Retrospective Studies
  • Young Adult