Myxoma differential diagnosis: Difference between revisions
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{{CMG}}; {{AE}}{{CZ}} {{AAM}} {{MV}} | {{CMG}}; {{AE}}{{CZ}} {{AAM}} {{MV}} | ||
==Overview== | ==Overview== | ||
Cardiac myxoma should be differentiated from other cardiac tumors including [[papillary fibroelastoma]], [[lipoma]], [[rhabdomyoma]], [[rhabdomyosarcoma]], and cardiac metastasis. Primarily, cardiac myxoma should be differentiated from other diseases that more commonly cause mitral valve obstruction and embolic events,such as [[thrombi]] or [[infectious endocarditis]].<ref name="pmid24599357">{{cite journal |vauthors=Hartig I, Kraatz EG, Beurich HW, Moosig F |title=[Atrial myxoma with clinical signs of systemic inflammatory disease.] |journal=Z Rheumatol |volume= |issue= |pages= |year=2014 |pmid=24599357 |doi=10.1007/s00393-013-1347-y |url=}}</ref> | |||
==Differentiating Myxoma from other Diseases== | ==Differentiating Myxoma from other Diseases== | ||
The [[differential diagnosis]] include other cardiac tumors such as: | |||
Differential diagnosis of intracardiac masses requires histological analysis. Diagnosis of myxoma requires the presence of lepidic cells and the absence of mitosis. | |||
The [[differential diagnosis]] include other cardiac tumors, such as: | |||
*[[Papillary fibroelastoma]] | |||
::*Is a benign tumor of the valvular endocardium, with an average onset in adults (˜60 years). In contrast with cardiac myxomas, papillary fibroelastoma tend to be smaller in size, the tumor is usually 1–2 cm in size. | |||
*[[Lipoma]] | *[[Lipoma]] | ||
::*Also known as "Lipomatous hypertrophy (LHIS)" is a very rare benign proliferation of mature [[adipocytes]].Lipomas are typically found in adult patients but can affect all ages. A common clinical feature is arrythmias. | |||
*[[Rhabdomyoma]] | *[[Rhabdomyoma]] | ||
::*Is the most common primary cardiac tumor in children. It is conformed from hamartomatous accumulation of the striated cardiomyocytes. Rhabdomyomas occur with more frequently in the myocardium of the left ventricle or in the interventricular septum. Is associated with [[tuberous sclerosis]], and [[congenital defects]] of the heart. | |||
*[[Rhabdomyosarcoma]] | *[[Rhabdomyosarcoma]] | ||
:: | |||
*[[Thrombus]] | *[[Thrombus]] | ||
:: | |||
*[[Metastasis]] | *[[Metastasis]] | ||
:: | |||
==References== | ==References== | ||
Revision as of 23:15, 20 November 2015
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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] Ahmad Al Maradni, M.D. [3] Maria Fernanda Villarreal, M.D. [4]
Overview
Cardiac myxoma should be differentiated from other cardiac tumors including papillary fibroelastoma, lipoma, rhabdomyoma, rhabdomyosarcoma, and cardiac metastasis. Primarily, cardiac myxoma should be differentiated from other diseases that more commonly cause mitral valve obstruction and embolic events,such as thrombi or infectious endocarditis.[1]
Differentiating Myxoma from other Diseases
Differential diagnosis of intracardiac masses requires histological analysis. Diagnosis of myxoma requires the presence of lepidic cells and the absence of mitosis.
The differential diagnosis include other cardiac tumors, such as:
- Is a benign tumor of the valvular endocardium, with an average onset in adults (˜60 years). In contrast with cardiac myxomas, papillary fibroelastoma tend to be smaller in size, the tumor is usually 1–2 cm in size.
- Also known as "Lipomatous hypertrophy (LHIS)" is a very rare benign proliferation of mature adipocytes.Lipomas are typically found in adult patients but can affect all ages. A common clinical feature is arrythmias.
- Is the most common primary cardiac tumor in children. It is conformed from hamartomatous accumulation of the striated cardiomyocytes. Rhabdomyomas occur with more frequently in the myocardium of the left ventricle or in the interventricular septum. Is associated with tuberous sclerosis, and congenital defects of the heart.
References
- ↑ Hartig I, Kraatz EG, Beurich HW, Moosig F (2014). "[Atrial myxoma with clinical signs of systemic inflammatory disease.]". Z Rheumatol. doi:10.1007/s00393-013-1347-y. PMID 24599357.