| Research Background and Objective:With the continuous development of medical technology and living standard, much more people have accepted cardiovascular examination, including patients with no heart disease. Therefore, the detection rate of cardiac tumors is higher than before. Cardiac surgery has experienced more than one hundred years since DR. Ludwig Rehnfirst performed suture on a patient with cardiac wound in 1896. Diagnosis and surgical treatment of cardiac surgery of all sorts of diseases have also been significantly improved since then. Many scholars have accomplished some researches on, which were mainly concentrated on the analysis of pathological characteristics and surgical treatment ofcardiac tumors, yet theabout age distribution, tumor size, tumor location is still lacking. In addition, the clinical manifestations and location of cardiac tumors is variable,bringing some challenges to surgeries. In recent years, our center met several such cases This study aims to analyze the clinical data of patients with cardiac tumors in recent 5 years underwent surgical treatment in our center, to figure out the clinical features and surgical treatment of cardiac tumors.Methods:A retrospective study of 165 patients diagnosed with cardiac tumor, selecting from almost 10,000 patients in our cardiac center, was performed from January 2011 to December 2015. The clinical dates were collected and analyzed. There are 110 females (66.67%) and 55 males (33.33%), aging from 3 months to 82 years (50.01 ± 14.89). The ratio of female to male is 2:1. The general data, clinical features, pathological type, operation mode and long-term prognosis were researched and analyzed.Results:There were 156 cases of benign tumor and 9 of malignant inl65 cases.There were 146 cases of myoma, including 120 cases of left atrial myxoma and 24 of right atrial myxoma and 2 of right ventricular myxoma,3of lipoma,1 of hemangioma located in the pericardial,1 of pheochromocytoma in the right atrium,1 of ectopic endometrium in right ventricle,2 of eosinophilic leiomyoma in the right atrium,1 of teratoma in the pericardial.1 cases of thymoma in the pericardial. Among the 9 cases of malignant tumor,1 of adenocarcinoma was located in the right ventricle,2 of squamous cell carcinoma were pericardial space occupying,3 of lymphoma were located in right atrium,2 of synovial sarcoma were pericardial space occupying,1 of rhabdomyosarcoma was in the right atrium pulmonary arteries. The perioperative mortality rate was 2(1.21%).The remaining 163 patients were cured. 125 cases of patients were followed up(76.69%).2 cases of myxoma recurrent during the follow-up period (3 months and 2 years after surgery), the recurrence rate was 1.38%. During the follow-up period,5 cases died,1 case died of cerebral infarction,3 cases died of recurrence of malignant tumor,1 case died of other cause. During the follow-up period, the mortality rate was 4.00%, the recurrence of the malignant tumor mortality rate was 2.40%, accounting for 42.86% of the patients with malignant tumor (3/7). No death occurred due to tumor recurrence in patients with benign tumor.Conclusion:Surgical resection is still the best method for treatment of cardiac tumors. The outcome of surgical treatment for myxoma is the best among all cases,the mortality and recurrence rate was low. The outcome of other benign cardiac tumors is also quite satisfactory. Butthe outcome of surgical treatment of malignant cardiac tumors is the worst. Early diagnosis and surgical treatment are keys to improve the survival rate of patients with cardiac tumors. |
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