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Echocardiographic and pathologic characteristics of primary cardiac tumors: a study of 149 cases

Echocardiographic and pathologic characteristics of primary cardiac tumors: a study of 149 cases,10.1016/S0167-5273(02)00136-5,International Journal o

Echocardiographic and pathologic characteristics of primary cardiac tumors: a study of 149 cases   (Citations: 52)
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To investigate the characteristics and pathological features of primary cardiac tumors and to evaluate the diagnostic sensitivity of echocardiography in primary cardiac tumors, all pathologic and echocardiographic records at the Chinese PLA general hospital and its satellite hospitals between January 1st, 1990 and January 1st, 2000 were reviewed to identify patients with a confirmed diagnosis of primary cardiac tumors. A total of 149 patients who had complete echocardiographic records and who were diagnosed with primary cardiac tumors were included in the study. Pathologic and echocardiographic records were reviewed retrospectively to evaluate the presence, location and histologic type of the tumors. The majority (n=118, 79.2%) of cases had been diagnosed with benign tumors. Myxoma was the most common histologic type accounting for 50.0% of total cardiac tumors. Lipoma was the second most common type of benign tumor. Among cases with malignant tumors (n=31, 20.8%), unclassified sarcoma (n=7), angiosarcoma (n=6) and rhabdomysarcoma (n=6) were the common histologic types of primary malignant tumor. Non-myxomatous benign tumors were more likely to have occurred in the ventricle than myxomas (17/43, 39.5% vs. 7/75, 9.3%; P=0.00). The proportion of pericardium involvement in the malignant tumors (8/31, 25.8%) was significantly higher than that in the myxomas (0/75, 0%; P=0.00) and non-myxomas (2/43, 4.7%; P=0.01). The diagnostic sensitivity of transthoracic and transesophageal echocardiography was 93.3% (139/149) and 96.8% (30/31), respectively. The study, using a relatively large sample, confirms that myxoma was the most common primary cardiac tumor. The locations of tumor involvement varied by types of tumor. Echocardiography may be a useful tool for early diagnosis of primary cardiac tumors.
Journal: International Journal of Cardiology - INT J CARDIOL , vol. 84, no. 1, pp. 69-75, 2002
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    • ...2DE is a non-invasive, bed-side, cost-effective real-time imaging modality with high spatial and temporal resolution for initial evaluation and follow up [2]...

    Ashraf Mohammed Anwaret al. Central role of real-time three-dimensional echocardiography in the as...

    • ...Benign tumors of the heart constitute about 72% of all primary cardiac neoplasms and by far, the most common benign primary tumor of the heart is the myxomas (accounting for approximately 30–50% of all primary cardiac tumors) [1, 2]...
    • ...Of the benign tumors, about 50% are myxomas and cardiac hemangiomas represent 5–10% of them [1, 2, 12]...

    M. Azra Tanrikuluet al. A pedunculated left ventricular hemangioma initially misdiagnosed as t...

    • ...Primary tumors of the heart are extremely rare and the majority of them are benign [1-7]...
    • ...The location of cardiac tumors varies by the type of tumor [6]...
    • ...Malignant tumors are located mainly in the right side of the heart; ninety percent of angiosarcomas are located in the right atrium and there is a high proportion of pericardial involvement [5,6]...
    • ...TTE and especially, transesophageal echocardiography (TEE), can precisely locate the tumor, define its extent, and may accurately predict tumor type [6,7]...
    • ...Some patients of course, as in the present case, have negative initial echocardiographic findings either because the tumor is too small or its location on the posterior surface of the myocardium prevents accurate assessment [6]...

    Marina Kontogiorgiet al. Primary right atrium angiosarcoma mimicking pericarditis

    • ... Right atrial masses are more frequently malignant than left atrial masses...

    Jon-Cecil Walkeset al. Therapy Insight: malignant primary cardiac tumors

    • ...Chest X-ray may show evidence of mitral valve obstruction or cardiomegaly, although one third of patients have a normal chest X-ray [2, 6]. Transthoracic echocardiography (TTE) has a 93% diagnostic sensitivity for myxoma, and TOE has a sensitivity of 97% [11, 12]...

    Alice M. Veitchet al. Systemic septic embolisation secondary to an atrial myxoma in a young ...

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