[Association of tumor cells at the cardiac myxoma stalk invading into the elastic fiber layer between heart walls with tumor recurrence: a preliminary study].

Q3 Medicine
J Q Xue, D Chen, J F Shang, S S Mei, Z Zhang
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引用次数: 0

Abstract

Objective: To analyze the pathological features of recurrent cardiac myxoma to provide a reference basis for clinical treatment and postoperative follow-up. Methods: The pathological data of cardiac myxoma patients who underwent cardiac myxoma surgery in Beijing Anzhen Hospital, Beijing, China from 2002 to 2016 were retrospectively analyzed. According to the grouping criteria, the cases were divided into the recurrence group (n=6) and control group (n=73). Results: In the recurrence group, there were 3 females and 3 males with a median age of 47 years. In the control group, there were 49 females and 24 males, with a median age of 53 years. Cardiac myxoma usually occurred in the left atrium. In the recurrence group, 5 cases occurred in the left atrium and 1 case in the right atrium. In the control group, 68 cases occurred in the left atrium, 4 cases in the right atrium, and 1 case in bilateral atria. Among the 6 cases in the recurrence group, the recurrence time was 1-7 years, with average 4.8 years. In the univariate analysis of recurrent cardiac myxoma pathology, disruption of elastic fiber layer and tumor cells of the tumor stalk invading into the myocardium through the elastic fiber layer were statistically associated with recurrence of cardiac myxoma (P<0.05). Logistic regression analyses showed that the invasion of tumor cells through the elastic fiber layer of the heart wall into the myocardium was an independent risk factor for recurrence (Odds Ratio=0.999, P<0.05). Conclusion: During the pathologic diagnosis, assessing the relationship between tumor cells in the stalk of cardiac myxoma and elastic fiber layer can help estimate the recurrence risk of cardiac myxoma, and thus guide clinical treatment and postoperative follow-up.

【心脏黏液瘤柄处肿瘤细胞侵入心脏壁间弹性纤维层与肿瘤复发的关系:初步研究】。
目的:分析复发性心脏黏液瘤的病理特点,为临床治疗及术后随访提供参考依据。方法:回顾性分析2002 ~ 2016年在北京安贞医院行心脏黏液瘤手术患者的病理资料。根据分组标准将患者分为复发组(n=6)和对照组(n=73)。结果:复发组女性3例,男性3例,中位年龄47岁。对照组女性49例,男性24例,中位年龄53岁。心脏黏液瘤通常发生在左心房。复发组左心房5例,右心房1例。对照组左心房68例,右心房4例,双侧心房1例。复发组6例,复发时间1 ~ 7年,平均4.8年。在心脏黏液瘤复发病理单因素分析中,弹性纤维层破坏及瘤柄肿瘤细胞经弹性纤维层侵入心肌与心脏黏液瘤复发有统计学相关性(POdds Ratio=0.999, p)。在病理诊断中,评估心脏黏液瘤茎部肿瘤细胞与弹性纤维层之间的关系,有助于评估心脏黏液瘤复发风险,从而指导临床治疗和术后随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
中华病理学杂志
中华病理学杂志 Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
10377
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