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A Primary Neuroendocrine Tumor Mimicking a Thrombus in the Left Atrial Appendage

좌심방이에서 발생한 혈전을 모방한 심장의 일차성 신경 내분비 종양

  • Myoung Kyoung Kim (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Sung Mok Kim (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Eun Kyoung Kim (Imaging Center, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Dong Seop Jeong (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yeon Hyeon Choe (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 김명경 (성균관대학교 의과대학 삼성서울병원 영상의학과) ;
  • 김성목 (성균관대학교 의과대학 삼성서울병원 영상의학과) ;
  • 김은경 (성균관대학교 의과대학 삼성서울병원 이미징센터) ;
  • 정동섭 (성균관대학교 의과대학 삼성서울병원 흉부외과) ;
  • 최연현 (성균관대학교 의과대학 삼성서울병원 영상의학과)
  • Received : 2021.01.11
  • Accepted : 2021.06.04
  • Published : 2022.03.01

Abstract

Most cardiac tumors are metastases, and primary cardiac tumors are rare; even among primary cardiac tumors, primary cardiac neuroendocrine tumors (NETs) are extremely rare. Herein, we report a case of a patient presenting a left atrial mass without past medical history. Because of the location and movement of the mass, as well as the patient's cerebral infarction episode, the mass was initially suspected to be a thrombus. However, the mass was surgically diagnosed as NET.

심장에서 발생하는 종양의 대부분은 원격 전이이며 일차성 심장 종양은 드물다. 그중에서도 심장의 일차성 신경내분비 종양은 더 드물게 보고되고 있다. 우리는 기저질환이 없는 환자에서 발생한 좌심방이 종괴에 대해 보고하고자 한다. 종괴의 위치, 초음파에서의 움직임, 환자의 뇌경색 발생으로 혈전을 의심하였다. 그 후 종괴에 대한 수술적 절제를 시행하였고, 신경 내분비 종양으로 진단받았다.

Keywords

References

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