先天性硭主瘤1例报告及文献复习

先天性左房瘤是一种罕见的心脏畸形。至今国外文献仅报告４０余例，国内仅７例，我们报告１例５岁女孩术前无症状，胸片发现左心缘扩大，超声心动图明确诊断。在体外循环下行瘤体切除，治愈出院。结合文献对本病临床特点，诊断、治疗及预后进行讨论。     

垂体促甲状腺素瘤--附三例报告

垂体促甲状腺素（ＴＳＨ）瘤是由于垂体分泌ＴＳＨ肿瘤引起甲状腺功能亢进。截止１９９６年，国外文献报告的垂体ＴＳＨ瘤２８０例〔１〕，我国仅施氏报告一例〔２〕。由于垂体分泌ＴＳＨ瘤所致的甲亢在临床上极少见，常引起误诊、漏诊、延误治疗时机，随着高敏感度ＴＳＨ...     

Pancoast 氏瘤合并肺尖结核诊断探讨：附4例报告

本文报告Pancoast氏瘤合并肺尖结核4例。分析了二病并存的延迟诊断原因,并结合文献探讨其早期诊断,提出了八点诊断依据及方法。     

肾上腺“意外瘤”13例报告

报告１３例肾上腺“意外瘤”均经手术和病理证实，其中肾上腺皮质腺瘤４例，腺癌３例，嗜铬细胞瘤，肾上腺囊肿各２例纤维瘤及肾上腺恶性黑色素瘤各１例。该瘤仅在体检或影像学检查时发现，ＣＴ扫描以其有较高的诊断价值，对有功能的肾上腺肿瘤，应首选手术治疗，对无功能的恶性瘤，亦应首选手术，良性者可跟踪观察。     

原发性纵隔内胚窦瘤的诊断与治疗（附2例报告）

报告２例原发性纵隔内胚窦瘤，均经组织病理学证实。１例手术如术后化疗存活４个月，另１例手术切除肿瘤加术后放疗和化疗，已生存８个月。结合文献对本病病因，病理，临床表现，诊断，治疗及颈后等进行了讨论。     

肝结核瘤的诊治探讨

目的探讨肝结核瘤的诊断与外科治疗措施。方法报告１９８０年１月～１９９３年１２月施行的肝切除术患者３４３例，其中术后经病理证实为肝结核瘤者８例。对该８例患者的诊断和治疗措施进行综合分析。结果８例中５例误诊为肝脏肿瘤，仅３例确诊。所有患者均行手术治疗，随访７例４年均无复发。结论对有结核病史的肝脏占位患者应高度怀疑为肝结核瘤；Ｂ超或ＣＴ导向下的肝穿刺活组织检查能明确诊断；治疗方式为施行肿瘤所在区域的肝段切除或局灶性切除，术后应用抗结核药物治疗以巩固疗效。     

气管、支气管、肺

报告14例肺炎性假瘤和15例肺硬化性血竹瘤,两者发生率占该院肺部手术的0.45%。本病临床少见,临床症状轻微,多数无症状(62%),X线表现仅为肺内孤立的球形病灶,诊断有一定困难     

家族性心脏粘液瘤二例

家族性心脏粘液瘤二例浙江医科大学附属第二医院心胸外科何忠良，张昌铭心脏粘液瘤是最常见的心脏良性肿瘤，极大多数呈散在发病，但文献也有家族性发病的报告。我院曾手术治疗母女家族性发病的心脏粘液瘤２例，现报告如下：１临床资料例１：患者女性，４７岁。因急速体位...     

CT诊断颅内转移瘤30例临床分析

近年来，我们采用ＣＴ诊断颅脑转移瘤３０例，报告如下。资料和方法：３０例颅内转移瘤中，结合临床病史诊断１８例，都有原发性肺癌病史，另１２例经手术证实。其中单发病灶有２例，多发的有１０例；原发瘤为肺癌者４例，乳腺癌３例，胃癌者２例，肾癌者２例，绒癌１例。...     

肝原发性鳞状细胞癌临床病理学观察

肝原发性鳞状细胞癌（PSCCL）是一种罕见的肝脏异源性恶性肿瘤，迄今国外文献仅20余例。国内文献约有15例报道。我们报道1例，结合文献重点阐述其组织发生、诊断及鉴别诊断。     

Massive left atrial appendage aneurysm presenting as supraventricular tachycardia

Left atrial appendage aneurysm is a rarely reported condition. Symptoms are absent in childhood and diagnosis is usually incidental. Systemic embolization or arrhythmia can bring these cases to medical attention. We report the case of a 12-year-old male with massive left atrial appendage aneurysm who presented with effort intolerance and supraventricular arrhythmia. The diagnosis was made by transthoracic echocardiography. Magnetic resonance imaging and left atriogram were also done before surgical resection.     

Resolution of Thrombi in Left Atrial Appendage Aneurysm

Atrial appendage aneurysm is a rare cardiac disease and may be complicated by embolic events and rhythm disturbances. We describe a case of a congenital left atrial aneurysm presenting with a cere-brovascular accident in a 57-year-old female. The diagnosis was made by transesophageal echocardiography, which revealed the presence of intraaneurysmal thrombi. The patient initially received anticoagulant therapy and the thrombi were resolved. Subsequently, she was successfully operated on and the aneurysm was removed. This is the first report of thrombi resolution in a left atrial appendage aneurysm.     

Congenital aneurysm of the left atrial appendage

Congenital aneurysm of the left atrial appendage is a rare anomaly, usually presenting in adult life. We report the case of a 31-year-old woman with a marked prominence of the upper left heart border at the chest X-ray in whom the diagnosis of congenital aneurysm of the left atrial appendage was confirmed by cross-sectional echocardiography and computed tomography. Up to few years ago angiography was considered the method of choice in establishing the diagnosis. Cross-sectional echocardiography has recently become a safe and reliable method for diagnosing congenital aneurysm of the left atrium and should be considered in any case with abnormality of the profile of left atrium on the chest radiography.     

Echocardiographic diagnosis of atrial septal aneurysm in an infant with hypoplastic right heart syndrome

Echocardiographic findings are described in a patient with hypoplastic right heart syndrome (pulmonary atresia type with intact ventricular septum and small right ventricular cavity) who had an associated atrial septal aneurysm. An unusual appearance of echoes behind the aorta bulging into the left atrium in diastole on both the M-mode and cross-sectional echo suggested this diagnosis prior to cardiac catheterization. The angiographic findings confirmed the diagnosis of right ventricular hypoplasia, pulmonary atresia and the large atrial septal aneurysm. The infant died after surgery and the atrial septal aneurysm was observed at autopsy. The importance of the diagnosis of the atrial septal aneurysm and its association with restriction of right-to-left atrial shunting prompts this report.     

Noninvasive and invasive diagnosis of a huge congenital aneurysm of the left atrium: a case report

An intrapericardial aneurysm of the left atrium in a twenty-eight-year old asymptomatic woman is reported. The aneurysm was diagnosed by two-dimensional echocardiography and the specific intraaneurysmatic flow pattern was described by color blood flow imaging. To the authors' knowledge such a noninvasive diagnosis of a left atrial aneurysm has never been reported in the literature before. The diagnosis was confirmed by angiocardiography. The aneurysm was successfully resected. The patient was discharged without medication and continues to do well.     

Intrapericardial left atrial aneurysm diagnosed by transoesophageal echocardiography and nuclear magnetic resonance imaging

A case of intrapericardial left atrial aneurysm is described in a 38-year-old woman, who presented with invalidating paroxysmal atrial fibrillation. The diagnosis was suspected by 2D-echocardiography, and confirmed by transoesophageal echocardiography and magnetic resonance imaging. Chest X-ray, right and left ventricular and coronary angiography were normal. The aneurysm was surgically removed, and the patient has subsequently remained free from symptoms.     

Left atrial appendage aneurysm: a rare cause of paroxysmal supraventricular tachycardia

Left atrial appendage aneurysm is a rare abnormality and a diagnostic dilemma in patients with cardiomegaly. Patients most commonly present with atrial tachyarrhythmias and thromboembolic events. Resection of the aneurysm is usually curative. We report herein the case of a 27-year-old man with massive left atrial appendage aneurysm diagnosed incidentally in the course of pre-operative evaluation for a non-cardiac surgery. The marked cardiomegaly detected in a routinely ordered pre-operative chest X-ray and the history of previous episodes of palpitation accompanied by chest discomfort guided us to the diagnosis. The diagnosis was made by transthoracic echocardiography and confirmed by angiography and then surgery.     

Diagnosis of atrial septal aneurysm by two-dimensional echocardiography--a case report.

A patient who was evaluated for a syncopal episode was found by two-dimensional (2D) echocardiography to have an aneurysm of the atrial septum. The atrial septal aneurysm appeared as a localized outpouching of the atrial septum that protruded into the left atrium during systole and into the right atrium during early diastole. The 2D echocardiography permits the definitive diagnosis of this condition by a noninvasive technique.     

Congenital aneurysm of the left atrial appendage

Congenital aneurysm of the left atrial appendage is quite infrequent.Most instances are asymptomatic. Patients can report a varietyof symptoms, one of the most frequent being onset of auriculartachyarrhythmia. Various imaging techniques are useful in diagnosisand allow the differential diagnosis with other pathologies. We describe the case of a 24-year-old male with congenital aneurysmof the left atrial appendage. The patient presented with auricularfibrillation. Diagnosis was based on transthoracic and trans-esophagealechocardiography, and the patient was treated by surgical resectionof the aneurysm under extracorporeal circulation.     

The dangerous fifth chamber: congenital left atrial appendage aneurysm

Aneurysms of the left atrial appendage are extremely rare. Enlargement of the left atrial appendage can be congenital or acquired. Dysplasia of the left atrial muscles leads to congenital left atrial appendage aneurysm and usually presents as atrial tachyarrhythmia or embolic events in the second or third decade of life. We report a case of an asymptomatic 12-year-old child with a congenital left atrial appendage aneurysm. Transthoracic and transoesophageal echocardiography demonstrated a large left atrial appendage aneurysm without thrombus or spontaneous echo-contrast. The patient was successfully treated with surgical resection of the aneurysm.