Ren Lu,Li Hongbo,Wu Chun,et al.Surgical treatment for primary pediatric cardiac tumors.[J].Journal of Clinical Pediatric Surgery,,17():448-452.
Surgical treatment for primary pediatric cardiac tumors.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 06
Page:
448-452
Column:
论著
Date of publication:
2018-06-28
- Keywords:
- Heart Neoplasms; Surgical Procedures; Operative; Treatment Outcome; Child
- Document code:
- A
- Abstract:
- ObjectiveTo summarize the experiences of diagnosing and treating primary cardiac tumors in children. MethodsFrom 2003 to 2017,16 surgical cases of primary cardiac tumor were recruited and retrospective analyses performed for age distribution,clinical manifestations,tumor locations,diagnoses,treatment,pathologic classifications and prognoses. ResultsThere were 4 boys and 12 girls aged from 1.3 months to 12.5 years.The major clinical manifestations included chest tightness and shortness of breath.In 14 cases,only one tumor were present while another other 2 cases had multiple tumors.Tumors were located in left atrium (n=4),left ventricle (n=2),right atrium (n=4),right ventricle (n=4) and ventricular septum (n=2).This group was examined by color echocardiography.Among them,8 patients received cardiac MRI examination while another routine computed tomography angiography (CTA).Resection was total (n=12) and partial (n=3).One case received cardiac tumor biopsy.The results of postoperative pathology examination were as follows: myxoma (n=8),fibroma (n=3),rhabdomyoma (n=2) and infantile capillary hemangioma,lipoma & lipoblastoma (n=1).Five cases were lost and 11 cases followed up for 3 months to 6 years.There was no recurrence or tumor growth. ConclusionPrimary pediatric cardiac tumors have a low incidence and atypical symptoms.They are more frequently diagnosed in infants.Color echocardiography and MRI or CTA confirm a diagnosis.Those with obvious symptoms should be operated promptly for restoring normal hemodynamics.Complete resection or partial resection should be chosen according to the location and size of lesion.
Last Update:
2018-06-26