老年心脏肿瘤临床病理学研究

目的：研究老年心脏肿瘤的病理形态及其临床意义。方法：对３２例老年心脏肿瘤（２９例心粘液瘤）进行临床分析和光镜。结果：心脏粘液瘤是老年人最主要的原发心脏肿瘤（占９０％以上），多见于女性（８７．５％）的左心房（８６．６％）；老年心脏肿瘤常伴随高血压和冠心病；超声心动图有诊断价值；栓塞是老年心脏粘液瘤的主要伴发症和死因，与其松脆的海棉状组织结构有关。结论：老年心脏肿瘤的临床病理特性与其自身生理状态密切相

Clinicopathological Study of Cardiac Tumors in the Elderly

To study the pathological morphology of cardiac tumors and its clinical significance.Methods:pathologic study of 32 cases (29 cases of cardiac myxomas)was performed by light(LM) and electron microscopy(EM) and their clinical symptoms were analysed.Results:1 Cardiac myxomas are the most common primary tumors(over 90%)and seen in left atria(86 6%)of females(87 5%)in the eldrly 2 Cardiac tumors usually accompanied with hypertension and coronary heart disease in the eldery.Echocardiography is an available tool for diagnosis.3.Sponge like architecures and fragile quality of cardiac myxomas are morphalogic fasis for development of embolization,which is entity of complication and death cause in the elderly.Conclusion:there are close relationship between clinicopathological characteristics and special physiological condition in the elderly.