[中风后诊断出的钙化无定形肿瘤:一例病例报告]。

Q4 Medicine
Shingo Tsushima, Toshiyuki Maeda, Shinji Nakashima, Satoshi Muraki, Taku Sakurada, Jun Sasaki, Eiji Araki
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引用次数: 0

摘要

钙化无定形瘤(CAT)是一种罕见的非肿瘤。组织病理学特征是在无定形的纤维蛋白背景中出现钙化结节。据报道,CAT 与肾功能障碍或血液透析有关,并可能导致脑栓塞。我们报告了一例中风后确诊的 CAT 病例。一名有两年血液透析史的 58 岁男性被诊断为急性中风,并接受了药物治疗。瘫痪很快得到改善,但经胸超声心动图检查发现二尖瓣后叶附着有肿瘤,二尖瓣环钙化致密。为防止巨大肿瘤造成栓塞,我们对肿瘤进行了切除。病理结果显示,钙化周围有无定形的纤维组织,表明肿瘤为CAT。术后恢复顺利。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Calcified Amorphous Tumor Diagnosed After Stroke:Report of a Case].

Calcified amorphous tumor (CAT), a non-neoplastic tumor, is rare. Histopathologic features are the presence of calcified nodules in an amorphous background of fibrin. CAT is reported to be associated with renal dysfunction or hemodialysis, and possibly causes cerebral embolism. We report a case of CAT diagnosed after stroke. A 58-year-old male with a 2-year history of hemodialysis was diagnosed with an acute stroke, and was treated medically. Paralysis promptly improved, but transthoracic echocardiography revealed a tumor attached to the posterior mitral leaflet and dense mitral annular calcification. To prevent embolism due to the large tumor, we performed resection of the tumor. Pathological findings showed calcifications surrounded by amorphous fibrous tissue, indicating CAT. Postoperative course was uneventful.

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