5例儿童原发性心脏肿瘤的临床病理分析

 目的  探讨儿童原发性心脏肿瘤的类型及其临床病理特征。方法  对5例儿童原发性心脏肿瘤病例进行临床病理学观察。结果  5例均为良性肿瘤,包括心脏横纹肌瘤2例、纤维瘤2例和脂肪瘤1例。患儿均为男性,年龄4小时至8岁,均通过心脏超声发现心脏肿瘤,因出现心室流出道梗阻而手术。结论  儿童原发性心脏肿瘤较少见,以良性为多,其中又以横纹肌瘤和纤维瘤相对多见,由于该类肿瘤具有典型的病理学特征,诊断不难,采用免疫组化标记和特殊组织化学染色有助于肿瘤的诊断。

Primary cardiac tumors in children:clinicopathological analysis of 5 cases

Objective   To study the type and the clinicopathological characteristics of primary cardiac tumors in children.Methods  Clinicopathological data of 5 cases of primary cardiac tumors in children were analyzed.Results  Five cases were all benign,including 2 cases of rhabdomyoma,2 cases of fibroma and 1 case of lipoma.They were male and the age was between 4 hours and 8 years old.They were diagnosed with echocardiography and received surgery because of obstruction of ventricular outlet.Conclusions  Primary cardiac tumors in children were uncommon,most of them were benign.Cases of rhabdomyoma and fibroma were relatively common.The diagnosis was not difficult because of evident clinicopathological features.Mark of immunohistochemistry and special histochemical staining could help the diagnosis.