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目的:为了提高对心脏原发性恶性肿瘤的诊断与治疗水平。方法:收集了我院有史以来的16例心脏原发性恶性肿瘤的病理标本及临床资料。分别就16例心脏恶性肿瘤的发病年龄、发病部位、性别特点、组织学观察、临床表现及病理鉴别诊断等多方面进行病理分类和对比。结果:发现心脏恶性肿瘤男性发病明显多于女性,好发于心房,发病年龄以中青年为主,肿瘤的类型多,组织构象相似性多,鉴别诊断困难。结论:心脏原发性恶性肿瘤诊断应以光镜组织学观察为主,结合临床及免疫组化等特殊染色作为辅助。
Objective: To improve the diagnosis and treatment of primary malignant tumors of the heart. Methods: The pathological specimens and clinical data of 16 cases of primary malignant tumors in the heart of our hospital were collected. The pathological classification and comparison of 16 cases of cardiac malignancy, including the age of onset, site of onset, gender, histological observation, clinical manifestations, and pathological differential diagnosis, were performed. RESULTS: It was found that the incidence of cardiac malignancies was significantly higher in males than in females, and it was more prevalent in the atria. The age of onset was mainly young and middle-aged. The types of tumors were numerous, and the similarities in tissue conformation were numerous. The differential diagnosis was difficult. Conclusion: The diagnosis of primary malignancies in the heart should be based on histological observation with light microscopy, combined with special staining such as clinical and immunohistochemistry.