心臟惡性腫瘤姑息性治療的個(gè)案匯總分析

【摘要】心臟惡性腫瘤較為罕見(jiàn)，分原發(fā)性和轉(zhuǎn)移性，預(yù)后極差。由于腫瘤通常與正常心臟解剖結(jié)構(gòu)分界不清，常無(wú)法進(jìn)行手術(shù)根治切除。姑息性治療包括改良的Fontan手術(shù)、經(jīng)皮經(jīng)導(dǎo)管支架植入、自適應(yīng)放射治療等手段，可緩解腫瘤造成的梗阻癥狀，減輕患者痛苦?，F(xiàn)對(duì)此方面的個(gè)案報(bào)道進(jìn)行匯總，希望能為臨床提供治療思路。

【關(guān)鍵詞】心臟腫瘤；治療；姑息性

【DOI】10.16806/j.cnki.issn.1004-3934.2023.05.015Case Summary and Analysis of Palliative Treatment of Cardiac TumorsLI Yongbin GUAN Ying ZHOU Xin ZHONG Zhiqing YANG Zhixiang YAO Zhuhua

（1.Department of Cardiology，Tianjin Union Medical Center，Tianjin 300010，China；2.Department of Cardiac Surgery，Tianjin Union Medical Center，Tianjin 300010，China）

【Abstract】Cardiac malignant tumors are rare，which can be divided into primary and metastatic，and the prognosis is very poor.Due to the unclear boundary between tumors and normal heart anatomical structures，it is often impossible to perform radical surgery.Palliative treatment，including modified Fontan surgery，percutaneous stent implantation，adaptive radiotherapy and other means，can alleviate the obstructive symptoms caused by tumors and alleviate patients pain.We summarize the case reports in this regard，hoping to provide clinical treatment ideas.

【Key words】Heart neoplasms；Treatment；Palliative

心臟腫瘤發(fā)病率較低，其中惡性約占10%，又分原發(fā)性和轉(zhuǎn)移性。（剩余6483字）