CAJ | 학술논문

目的：探讨心脏血管瘤的临床病理特征，为临床诊疗及判断预后提供依据。方法回顾性分析本院2003年2月至2014年2月经手术治疗的10例心脏血管瘤（海绵状血管瘤5例，毛细血管瘤4例，静脉性血管瘤1例）的临床资料及组织病理学特征。结果多数肿瘤体积小，有蒂或无蒂，表面光滑，切面可呈蜂窝状，可见充满血栓的囊腔。主要成分为良性增生的血管内皮细胞，间质可见炎性细胞浸润。术后随访6个月至3年，3例失访，其余7例患者均恢复情况良好，无复发。结论心脏血管瘤非常罕见，好发于心包的脏层，在儿童多发生在三尖瓣，无性别差异，可发生于任何年龄。术前确诊心脏血管瘤很困难，故手术切除标本应送病理检查确诊。本病预后良好，手术切除后极少复发，术后应定期随访。
목적：탐토심장혈관류적림상병리특정，위림상진료급판단예후제공의거。방법회고성분석본원2003년2월지2014년2월경수술치료적10례심장혈관류（해면상혈관류5례，모세혈관류4례，정맥성혈관류1례）적림상자료급조직병이학특정。결과다수종류체적소，유체혹무체，표면광활，절면가정봉와상，가견충만혈전적낭강。주요성분위량성증생적혈관내피세포，간질가견염성세포침윤。술후수방6개월지3년，3례실방，기여7례환자균회복정황량호，무복발。결론심장혈관류비상한견，호발우심포적장층，재인동다발생재삼첨판，무성별차이，가발생우임하년령。술전학진심장혈관류흔곤난，고수술절제표본응송병리검사학진。본병예후량호，수술절제후겁소복발，술후응정기수방。
Objective To analyze the clinical and pathological characteristics of cardiac angioma as to facilitate the diagnosis and treatment of cardiac angioma. Methods In the retrospective study, 10 cases of cardiac angiom ( 4 cases of capillary, 5 cases of cavernoma and 1 case of venous) were analyzed from Feburary 2003 to Feburary 2014. Results A smooth surface was observed in all tissues of cardiac angioma with honeycomb-like cross section and full of thrombus in capsulas. Some of them had a pedicle. Vascular endothelial cell was the major component of cardiac angioma. Inflammatory cells could be seen in interstitium in some specimens. Three patients were lost contact. The other 7 patients were followed-up for 6 months to 3 years. They were recovered after operation, and no recurrence was observed. Conclusion Cardiac angioma is a rare disease. It could occur at any age with the absence of sex predomi-nance. Generally, the tumor is located on visceral pericardial in adults and on tricuspid valve in children. It is hard to diagnose cardiac angioma before surgery and the resected specimen should be collected for pathological examination. The tumor would not recur after sur-gery with a good prognosis. Patients should be followed regularly after surgery.