Bulletin of fundamental and clinic medicine 2025, №3 (17)

Subject of the article

THE DIAGNOSIS AND SURGICAL TREATMENT OF THE MALIGNANT HEART TUMORS (43-47)

Authors

Abdumadjidov Kh.A., Buranov Kh.J., Urakov Sh.T.

Institution

Republican Specialized Practical Medical Center of Surgery named after Academician V. Vakhidov, Tashkent, Uzbekistan ,Bukhara State Medical Institute named after Abu Ali ibn Sino, Bukhara, Uzbekistan

Abstract

The article discusses the issues of diagnostics and choice of tactics for surgical treatment of one of the rarest diseases - malignant tumors of the heart. In the practice of cardiac surgery clinics, primary malignant neoplasms of the heart are rarely encountered, which, due to their course characteristics, compli cate timely diagnostics and decision on surgical correction of this disease. As the authors point out, the lat ter are asymptomatic in a large percentage of cases, thereby complicating timely diagnostics of heart dam age. In the authors' example, the patient had previously been operated on for a malignant neoplasm of the left shoulder, after removal of which a metastatic version of the tumor was detected in a short period - he mangiosarcoma of the right atrium. Adequate correction was performed - removal of the tumor under artifi cial circulation and cardioplegia. After a successful operation, the patient was discharged on the 6th day with a recommendation to continue chemoradiation therapy in an oncology clinic under the supervision of cardiologists.

Key words

heart tumors, reticulosarcoma, gemangioendotelioma, trans- thoracic and thansesophagial echocardiography, histomorfological examination

Literature

  1. Abdumajidov H.A., Nazirova L.A., Tur gunov A.I. «Peculiarities of diagnostics, clinical ex amination and surgical treatment of cardiac myxo mas. Toolkit. Tashkent - 2016. 40 p.
  2. Петровский Б. В., Константинов Б. А., Нечаенко М. А.Первичные опухоли сердца. Москва: Медицина, 1997.[Petrovsky B. V., Kon stantinov B. A., Nechaenko M. A. Pervichnie opu kholi serdtsa. Moskva: Meditsina, 1997. (InRuss.)].
  3. Isobe S., Murohara T. Cardiac tumors: his topathologicalaspects and assessments with cardiac noninvasive ima-ging. Cardiol. 2015;12:37 8.https://doi.org/10.1016/j.jccase.2015.04.008
  4. Рыбакова М. К., Митьков В. В., Балдин Д. Г. Эхокардиография от Рыбаковой. Москва: ВИДАР, 2016. [Ribakova M. K., Mitkov V. V., Baldin D. G. Echokardiography from Ribakova. Moskva: VIDAR, 2016. (In Russ.)].
  5. Кадырова М., Степанова Ю. А., Грин берг М. С., Малышенко Е. С., Широков В. С. [и др.]. Опухоли сердца: классификация, клиниче ская картина, характеристика, лучевые признаки. Медицинская визуализация.2019;(4):24-41. [Kadyrova M., Stepanova Yu. A., Grinberg M. G., Malyshenko E. S., Shirokov V. S. [et al.]. Heart tu mors: classification, clinic, characteristics, radiolo gysigns. Meditsinskaya vizualizatsiya. – Medical 2019;(4):24-41. (In Russ.)].https://doi.org/10.24835/1607-0763-2019-4 24-41
  6. Kurian K. C., Weisshaar D., Parekh H., Berry G., Reitzet B.Primary cardiac angiosarcoma: case report and review of the literature. Pathol. 2006;15(2):110 112.https://doi.org/10.1016/j.carpath.2005.10.003
  7. Михопарова О. Ю., Цибулькин Н. А., Ощепкова О. Б.,Тухватуллина П. В. Опухолевые поражения сердца в клинической практике. Вестник современной клинической медицины. 2017;10(4):80-86. [Mikhoparova O. Yu., Tsibulkin N. A., Oschepkova O. B., Tukhvatullina P. V.Opukholevie porazheniya serdtsa v klinicheskoy praktike.Vestnik sovremennoy klinicheskoy med itsiny. – Bulletin of modern clinical medicine. 2017;10(4):80-86. (In Russ.)].
  8. Карпова Н. Ю., Рашид М. А., Казакова Т. В., Чипигина Н. С., Аксенова А. В. [и др.]. Ан гиосаркома сердца случай из практики. Рацио нальная фармакотерапия в кардиологии. 2017;13(3):339-345. [Karpova N. Y.,Rashid M. A., Kazakova T. V., Chipigina N. S., Aksenova A. V. [et al.]. Angiosarcoma of the heart – clinical case. Ratsionalnaya farmakoterapiya v kardiologii. – Ra tional Pharmacotherapy 2017;13(3):339-345. (In Russ.)]. in Cardiology.

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