肺动脉肉瘤复发再次手术切除1例并文献复习

One Case of Reoperation for Recurrent Pulmonary Artery Sarcoma: A Case Report and Literature Review

摘要: 目的：提高对原发性肺动脉肉瘤的认识，为其诊治提供参考。方法：对郑州大学第一附属医院心血管外科收治的1名肺动脉肉瘤术后肿瘤局部复发的患者进行病例分析并复习相关文献。结果：再次开胸行肺动脉肿瘤切除伴肺血管壁重建术，术后规律放化疗，6个月随访期间症状较前明显缓解，复查暂无迹象表明疾病进展。结论：对于肺动脉肉瘤复发患者且放化疗无效的患者，再次手术切除早期仍可取得良好的临床效果，可延长患者生存期并改善其生活质量。

Abstract: Objective: To improve the understanding of primary pulmonary artery sarcoma and provide refer-ence for its diagnosis and treatment. Methods: A case of 1 patient with local recurrence of tumor af-ter postoperative pulmonary artery sarcoma admitted to the Department of Cardiovascular Surgery of The First Affiliated Hospital of Zhengzhou University was analyzed and relevant literatures were reviewed. Results: Re-thoracotomy was performed with pulmonary artery tumor resection with Pulmonary artery wall reconstruction, followed by regular radiotherapy and chemotherapy. During the 6-month follow-up period, the symptoms were significantly relieved, and there was no sign of disease progression in the re-examination. Conclusion: For patients with recurrent pulmonary ar-tery sarcoma and ineffective radiotherapy and chemotherapy, reoperation can still achieve good clinical results in the early stage, prolong the survival time of patients and improve their quality of life.