An unusual tumour involving heart and liver

Anthony S. Walton FRACP, Aubrey Pitt FRACP, Bruce B. Davis FRACS , Julian A. Smith FRACS , Brian W. Essex FRACA , Michael Nicholson FRACP
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Abstract

We report the successful removal of a large right atrial haemangioma associated with multiple liver haemangiomas. Preoperative echocardiography showed a large right atrial mass, and computerised tomography revealed lesions in the liver. A preoperative diagnosis of malignant cardiac tumour and liver secondaries was made. However, the tumour was benign. This case emphasises the need to obtain a definitive histologic diagnosis preoperatively, if possible, before rejecting a patient for surgery, and to be aware that benign lesions can be multifocal.

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一种罕见的肿瘤,累及心脏和肝脏
我们报告成功切除一个大的右心房血管瘤合并多发性肝血管瘤。术前超声心动图显示一个大的右心房肿块,计算机断层扫描显示肝脏病变。术前诊断为心脏恶性肿瘤及肝脏继发。然而,肿瘤是良性的。本病例强调术前,如有可能,在拒绝患者手术前,需要获得明确的组织学诊断,并意识到良性病变可能是多灶性的。
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