74例心脏肿瘤的临床病理及预后研究

摘要】 目的 通过74例心脏肿瘤的病理学研究，分析其病理学改变与临床表现及预后的关系。方法 选自我科确诊的心脏肿瘤74例，其中收住院手术切除标本73例，尸检1例。用组织化学及特殊组织化学染色和免疫组化观察。结果 74例心脏肿瘤中，原发性72例、继发性即转移的肝癌2例。在原发性肿瘤中，良性瘤68例（94.4%），包括粘液瘤、纤维瘤、横纹肌瘤、心包囊肿;恶性瘤4例（5.6%），包括胚胎性横纹肌肉瘤、神经鞘纤维肉瘤、恶性间皮瘤。在粘液瘤中，73.8%为女性患者，90.2%发生在左心房内，均有一蒂并附着在房间隔卵圆窝处或附近。结论 心脏肿瘤与其他部位的肿瘤不同，即使是良性瘤由于引起血液动力学改变也可致命，需早期诊断、早期手术治疗，绝大多数预后良好。恶性瘤预后极差。

关键词 心脏肿瘤 病理学 手术 免疫组化 预后

The clinicopathological and prognostic study

on74cases of cardiac tumors

Wang Xuzhou

Dept.of Pathology，the Qilu Hospital of Shandong University，Jinan250012.

Key words cardiac tumor pathology surgical immunohistochemistry prognosis

Cardiac tumor is a kind of ones rarely found.Missed and misdiagnosis are easily occured just because of no prominent differences of clinical symptoms with other diseases of heart so that some patients would lose the chance of treatment，especially in the areas with worse medical condition.We carried the clinicopatholoˉg

ical analysis of74cardiac tumors，diagnosed by surgical pathology and autopsy，in order to improve the knowlˉedge of cardiac tumors and raise the ratio of early diagˉnosis and cure.