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: Template:Dj
Overview
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. |
| 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. |
| 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.[2] |
| Hemangioma | CXR demonstrates massive pericardial effusion leading to tamponade.[2] |
| Rhabdomyosarcoma | Chest X-Ray findings of congestive heart failure.[2] |
| Fibrosarcoma | Mediastinal mass and pericardial effusion on CXR[2] |
| 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.
- ↑ 2.0 2.1 2.2 2.3 Isaacs H (2004). "Fetal and neonatal cardiac tumors". Pediatr Cardiol. 25 (3): 252–73. doi:10.1007/s00246-003-0590-4. PMID 15360117.