复发
需要终身随访,因为黏液瘤有复发倾向。复发率差异很大,在一病例系列报告为 5%。[2]Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore). 2001;80:159-172.http://www.ncbi.nlm.nih.gov/pubmed/11388092?tool=bestpractice.com[10]Acebo E, Val-Bernal JF, Gomez-Roman JJ, et al. Clinicopathologic study and DNA analysis of 37 cardiac myxomas: a 28-year experience. Chest. 2003;123:1379-1385.http://www.ncbi.nlm.nih.gov/pubmed/12740251?tool=bestpractice.com 文献中报告的复发率为 5% 至 14%。一病例系列报告的复发时间为 0.5 至 6.5 年。[2]Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore). 2001;80:159-172.http://www.ncbi.nlm.nih.gov/pubmed/11388092?tool=bestpractice.com[10]Acebo E, Val-Bernal JF, Gomez-Roman JJ, et al. Clinicopathologic study and DNA analysis of 37 cardiac myxomas: a 28-year experience. Chest. 2003;123:1379-1385.http://www.ncbi.nlm.nih.gov/pubmed/12740251?tool=bestpractice.com
总生存率
心脏黏液瘤成功切除后总体预后良好。在一病例系列报告中,手术后中位随访 13 年(1 个月到 42 年),总生存率是 87%。[16]Bjessmo S, Ivert T. Cardiac myxoma: 40 years' experience in 63 patients. Ann Thorac Surg. 1997;63:697-700.http://www.ncbi.nlm.nih.gov/pubmed/9066386?tool=bestpractice.com不规则或易碎(绒毛状)的表面增加了栓塞的风险。[2]Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore). 2001;80:159-172.http://www.ncbi.nlm.nih.gov/pubmed/11388092?tool=bestpractice.com[10]Acebo E, Val-Bernal JF, Gomez-Roman JJ, et al. Clinicopathologic study and DNA analysis of 37 cardiac myxomas: a 28-year experience. Chest. 2003;123:1379-1385.http://www.ncbi.nlm.nih.gov/pubmed/12740251?tool=bestpractice.com