心脏肿瘤40例临床病理分析

目的：探讨心脏肿瘤的病理分类和手术效果。方法：对40例心脏肿瘤患者行肿瘤全部或部分切除术，术后送病理学检查，术后患者均获随访。结果：共有13种不同病理类型，良性肿瘤32例，恶性肿瘤6例，转移肿瘤2例。围术期死亡2例，晚期死亡5例。结论：心脏肿瘤具有多种不同的病理类型，良性肿瘤手术切除后近、远期效果良好，恶性肿瘤远期效果不佳，静脉内平滑肌瘤全部切除或部分切除者效果较好。

Clinical and Pathological Analysis of Tumor in Heart and Pericardium

Objective To demonstrate pathological types and surgical results of tumors in heart and pericardium.Methods Tumors in heart and pericardium were excised totally or partially in 40 patients and pathological examinations were taken.Patients were followed up.Results There were 13 different types of tumors.32 cases were benign,6 were malignant and 2 were metastatic tumor.Two patients died within perioperation period and five died at follow-up.Conclusion Tumors in heart and pericardium include various pathological types.Prognosis of benign tumor was quite good after operation,but prognosis of malignant tumor is very poor for long-term observation.Intravenous leiomyomatosis has a good prognosis after total or partial surgical excision.