Cardiac tumors: Difference between revisions

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'''For patient information click [[Atrial myxoma (patient information)|here]]'''
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   Image          = Cardiac rhabdomyosarcoma 002.jpg|
   Image          = Cardiac rhabdomyosarcoma 002.jpg|
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{{Cardiac tumors}}
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{{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}; [[Varun Kumar, M.B.B.S.]] {{HK}}


'''Associate Editor-In-Chief:''' {{CZ}}
==[[Cardiac tumors overview|Overview]]==
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==[[Primary tumors of the heart overview|Overview]]==
==[[Cardiac tumors historical perspective|Historical Perspective]]==


==[[Primary tumors of the heart epidemiology and demographics|Epidemiology and Demographics]]==
==[[Cardiac tumors classification|Classification]]==
[[Cardiac tumors classification#Primary cardiac tumors|Primary cardiac tumors]] | [[Cardiac tumors classification#Secondary cardiac tumors|Secondary cardiac tumors]]


==[[Primary tumors of the heart pathophysiology|Pathophysiology]]==
==[[Cardiac tumors pathophysiology|Pathophysiology]]==
[[Cardiac tumors pathological findings|Pathological Findings]]


==Diagnosis==
==[[Cardiac tumors causes|Causes]]==


===Electrocardiographic Findings===
==[[Cardiac tumors differential diagnosis|Differentiating Cardiac Tumors from other Diseases]]==
==[[Cardiac tumors epidemiology and demographics|Epidemiology and Demographics]]==


Replacement of electrically active tissue by inert tissue such as a tumor or [[Chagas disease]] can result in Q waves. Pericardial [[metastases]] can result in [[atrial fibrillation]] or [[atrial flutter]].
==[[Cardiac tumors risk factors|Risk Factors]]==
=====[[Cardiac tumors risk factors for embolization|Risk Factors for Embolization]]=====


===CT===
==[[Cardiac tumors screening|Screening]]==


Labeled images below are courtesy of RadsWiki and copylefted.
==[[Cardiac tumors natural history|Natural History, Complications and Prognosis]]==


*'''Atrial Myxoma'''
==Diagnosis==
<div align="left">
[[Cardiac tumors staging|Staging]] | [[Cardiac tumors history and symptoms|History and Symptoms]] | [[Cardiac tumors physical examination|Physical Examination]] | [[Cardiac tumors laboratory tests|Laboratory Findings]] | [[Cardiac tumors electrocardiogram|Electrocardiogram]] | [[Cardiac tumors chest x ray|Chest X Ray]] | [[Cardiac tumors CT|CT]] | [[Cardiac tumors MRI|MRI]] | [[Cardiac tumors echocardiography or ultrasound|Echocardiography]] | [[Cardiac tumors other imaging findings|Other Imaging Findings]] | [[Cardiac tumors other diagnostic studies|Other Diagnostic Studies]]
<gallery heights="117" widths="117">
Image:Atrial-myxoma-01.jpg|Atrial Myxoma
Image:Atrial-myxoma-02.jpg|Atrial Myxoma
Image:Atrial-myxoma-03.jpg|Atrial Myxoma
</gallery>
</div>
 
 
*'''Cardiac Rhabdomyosarcoma'''
 
<div align="left">
<gallery heights="117" widths="117">
Image:Cardiac rhabdomyosarcoma 001.jpg|Cardiac Rhabdomyosarcoma
Image:Cardiac rhabdomyosarcoma 002.jpg|Cardiac Rhabdomyosarcoma
Image:Cardiac rhabdomyosarcoma 003.jpg|Cardiac Rhabdomyosarcoma
</gallery>
</div>
 
===MRI===
 
[[Image:Myxoma CMR.gif|left|600px|thumb|MRI: Cardiac myxoma]]
<br clear="left"/>
 
===Pathological Findings===
 
Image shown below is courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]


==Treatment==
[[Cardiac tumors medical therapy|Medical Therapy]] | [[Cardiac tumors surgery|Surgery]] | [[Cardiac tumors primary prevention|Primary Prevention]] | [[Cardiac tumors secondary prevention|Secondary Prevention]] | [[Cardiac tumors cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Cardiac tumors future or investigational therapies|Future or Investigational Therapies]]


<div align="left">
==Case Studies==
<gallery heights="175" widths="175">
[[Cardiac tumors case study one|Case #1]] | [[Lymphoma case study|Case #2: Cardiac lymphoma]]
Image:Cardiac tumor 1.jpg|HEART: Metastatic Tumor: Gross very unusual large metastatic carcinoid in [[right atrium]]
Image:Cardiac tumor 2.jpg|Cardiac Myxoma A gelatinous tumor is attached by a narrow pedicle to the atrial septum. The myxoma has an irregular surface and nearly fills the left atrium.
</gallery>
</div>


 
==Related Chapters==
<div align="left">
<gallery heights="175" widths="175">
Image:Cardiac tumor 3.jpg|Cardiac Myxoma There was a calcified right atrial mass on the X ray of a 47-year-old man. Resection demonstrated a smooth-surfaced tumor. The gritty material seen microscopically on cut section was calcified and ossified myxoma.
Image:Cardiac tumor 4.jpg|Cardiac Fibroma Cut surface of the tumor shown in figure 6-2. The left ventricular (LV) cavity is present behind the mass. The patient was a 4-month-old child who died suddenly without a previous medical history.
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<div align="left">
<gallery heights="175" widths="175">
Image:Cardiac tumor 5.jpg|This tumor was resected from the right atrium of a 1-year-old boy with pericardial effusions. Note areas of hemorrhage and dilated vessels. The patient was well 49 months postoperatively.
Image:Papillary fibroelastoma.jpg|Papillary fibroelastomas are often on the arterial surface and may project into the coronary ostium, causing ostial occlusion. This tumor is in the noncoronary sinus.
</gallery>
</div>
 
== Prognosis ==
 
The vast majority of the tumors of the heart have a benign course and are not directly fatal.  However, even the benign tumors of the heart can be lethal due to either direct extension into the electrical conduction system of the heart (causing [[third degree AV block|complete heart block]] or a fatal dysrhythmia), or due to [[embolism|emboli]] from the tumor mass that may have lethal sequelae.
 
The malignant tumors of the heart have a worse prognosis.  Cardiac sarcomas generally lead to death within 2 years of diagnosis, due to rapid infiltration of the myocardium of the heart and obstruction of the normal flow of blood within the heart.<ref name="Burke-Sarcoma">{{cite journal | author=Burke AP, Cowan D, Virmani R | title=Primary sarcomas of the heart | journal=Cancer | year=1992 | volume=69 | issue=2 | pages=387-95 | id=PMID 1728367}}</ref><ref name="Burke-Osteosarcoma">{{cite journal | author=Burke AP, Virmani R | title=Osteosarcomas of the heart | journal=Am J Surg Pathol | year=1991 | volume=15 | issue=3 | pages=289-95 | id=PMID 1705103}}</ref>
 
==References==
{{Reflist|2}}
 
==See also==
* [[Myxoma]]
* [[Myxoma]]
* [[The heart in oncologic disease]]
* [[The heart in oncologic disease]]


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Latest revision as of 11:04, 23 May 2022

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Cardiac tumors

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Varun Kumar, M.B.B.S. Syed Hassan A. Kazmi BSc, MD [3]

Overview

Historical Perspective

Classification

Primary cardiac tumors | Secondary cardiac tumors

Pathophysiology

Pathological Findings

Causes

Differentiating Cardiac Tumors from other Diseases

Epidemiology and Demographics

Risk Factors

Risk Factors for Embolization

Screening

Natural History, Complications and Prognosis

Diagnosis

Staging | History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | Chest X Ray | CT | MRI | Echocardiography | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

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Case #1 | Case #2: Cardiac lymphoma

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