Cardiac tumors chest x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dheeraj Makkar, M.D.[2]
Overview
Chest X-Rays do not have a diagnostic value until late in disease or presence of features like heart failure. They are usually done as a part of preliminary investigations.
Chest X-ray
- ECG and X-ray yield no crucial diagnostic information. Echocardiography is the main initial diagnostic tool.[1]
- Usually tumors are not visualized on Chest X-Rays until they are large enough to cause obstructive symptoms.[1]
- However, an x-ray may be helpful in the diagnosis of certain complications of ,cardiac tumors which include heart failure, pulmonary hypertension, and pericardial effusion.
- Some tumors and their chest X-ray findings are:
| Tumor | Findings |
|---|---|
| Myxoma | Approximately one-third of patients have clear chest X-Ray. Cardiomegaly is observed in 37 percent and 50 percent of left and right atrial myxomas, respectively.[2] |
| Papillary Fibroelastoma | If the tumor obstructs the mitral valve, and CXRs may indicate an accompanying dilatation of heart chambers and symptoms of pulmonary hypertension and congestion.[3] |
| Cardiac Fibroma | CXR may demonstrate cardiomegaly with or without a distinct protrusion, and in 15% of instances, calcification is apparent. |
| Pericardial Teratoma | CXR shows massive pericardial effusion.[4] |
| Hemangioma | CXR demonstrates massive pericardial effusion leading to tamponade.[4] |
| Rhabdomyosarcoma | Chest X-Ray findings of congestive heart failure.[4] |
| Fibrosarcoma | Mediastinal mass and pericardial effusion.[4] |
| Angiosarcoma | Pericardial effusion on CXR |
References
- ↑ 1.0 1.1 Schmaltz AA, Apitz J (1981). "Primary heart tumors in infancy and childhood. Report of four cases and review of literature". Cardiology. 67 (1): 12–22. doi:10.1159/000173224. PMID 7459905.
- ↑ Cina SJ, Smialek JE, Burke AP, Virmani R, Hutchins GM (1996). "Primary cardiac tumors causing sudden death: a review of the literature". Am J Forensic Med Pathol. 17 (4): 271–81. doi:10.1097/00000433-199612000-00001. PMID 8947350.
- ↑ Gowda RM, Khan IA, Nair CK, Mehta NJ, Vasavada BC, Sacchi TJ (2003). "Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases". Am Heart J. 146 (3): 404–10. doi:10.1016/S0002-8703(03)00249-7. PMID 12947356.
- ↑ 4.0 4.1 4.2 4.3 Isaacs H (2004). "Fetal and neonatal cardiac tumors". Pediatr Cardiol. 25 (3): 252–73. doi:10.1007/s00246-003-0590-4. PMID 15360117.