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Tumors: Difference between revisions
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→Malignant tumors
(Created page with "==Benign tumors== Usually, a cardiac tumor is benign in nature. A benign tumor has a good prognosis at thrombi. Vegetations and some tumors are the most at risk embolism. {| ...") |
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*The second most common primary cardiac tumor. | *The second most common primary cardiac tumor. | ||
*Location: Almost always ventricular (septal or apical). | *Location: Almost always ventricular (septal or apical). | ||
Size: ± 10cm. | *Size: ± 10cm. | ||
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|Papillary fibroelastoma | |Papillary fibroelastoma | ||
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Primary malignant tumors | ==Malignant tumors== | ||
Primary malignant tumors are very rare. The most common malignant cardiac tumors are secondary tumors derived from primary diseases (see table below). 3% of all patients with cancer receive cardiac metastases through the four "pathways": direct infiltration, haematogenically (through blood), lymph vessels (VCI, pulmonary veins). Malignant tumors have a poor prognosis: In malignant tumors the major risk is of the malignancy itself. | |||
Most common primary malignant cardiac tumor | |||
Location: 90% right atrium | {| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="600px" | ||
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Second most common primary malignant cardiac tumor, often in children than adults | !colspan="2"|Primary malignant tumors | ||
Location: whole heart | |- | ||
!Angiosarcoma | |||
Cover visceral and parietal pericardium, no growth in endocardium. | | | ||
Secondary malignant tumors | *Most common primary malignant cardiac tumor | ||
*Location: 90% right atrium | |||
|- | |||
!Rhabdomyosarcoma | |||
| | |||
*Second most common primary malignant cardiac tumor, often in children than adults | |||
Renal cell carcinoma | *Location: whole heart | ||
|- | |||
!Mesothelioma | |||
Oesophagus cancer | | | ||
*Cover visceral and parietal pericardium, no growth in endocardium. | |||
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!colspan="2"|Secondary malignant tumors | |||
Overview | |- | ||
Tumor | !Metastases | ||
left atrium | | | ||
*Melanoma | |||
*Lung Cancer | |||
*Breast cancer | |||
*Sarcoma | |||
*Renal cell carcinoma | |||
*Leukemia | |||
*Lymphoma | |||
*Oesophagus cancer | |||
*Hepatocellular carcinoma | |||
*Thyroid cancer | |||
|} | |||
{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="600px" | |||
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Papillary | |+ Overview of the locations of the most common cardiac tumors | ||
|- | |||
!Location | |||
!Tumor | |||
|- | |||
!left atrium | |||
| | |||
*Myxoma | |||
*Thrombus | |||
*Papillary fibroelastoma | |||
*Sarcoma | |||
LA | |- | ||
!Eight atrium | |||
| | |||
*Myxoma | |||
*Angiosarcoma | |||
*Lymphoma | |||
*Thrombus | |||
*Papillary fibroelastoma | |||
|- | |||
!Left ventricular | |||
| | |||
*Fibroma | |||
*Rhabdomyoma | |||
*Thrombus | |||
*Papillary fibroelastoma | |||
|- | |||
!Right ventricle | |||
| | |||
*Fibroma | |||
*Rhabdomyoma | |||
*Angiosarcoma | |||
*Lymphoma | |||
*Thrombus | |||
*Papillary fibroelastoma | |||
|} | |||
{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="600px" | |||
|- | |||
|+ Examples<cite>1</cite> | |||
|- | |||
|Video | |||
|align="center"|[[Image:TrombusRA.jpg|300px]] | |||
|- | |||
!Myxoma LA | |||
!Thrombus RA | |||
|- | |||
|Video | |||
| | |||
|- | |||
!Vegetation TV | |||
! | |||
|} | |||
==References== | ==References== | ||
<biblio> | <biblio> | ||
#1 Hamer, J.P.M. “Cardiale massa’s” | #1 Hamer, J.P.M. “Cardiale massa’s”, in: Hamer/Pieper, ‘Praktische echocardiografie’, (2006), 1e druk 2e oplage, Houten, Bohn Stafleu van loghum, p.198-207. | ||
</biblio> | </biblio> | ||