Tumors: Difference between revisions

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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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==Malignant tumors==
==Malignant tumors==
Primary malignant tumors are very rare. The most common malignant cardiac tumors are secondary tumors derived from primary diseases (see 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.
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.
 
{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="600px"
|-
!colspan="2"|Primary malignant tumors
|-
!Angiosarcoma
|
*Most common primary malignant cardiac tumor
*Location: 90% right atrium
|-
!Rhabdomyosarcoma
|
*Second most common primary malignant cardiac tumor, often in children than adults
*Location: whole heart
|-
!Mesothelioma
|
*Cover visceral and parietal pericardium, no growth in endocardium.
|-
!colspan="2"|Secondary malignant tumors
|-
!Metastases
|
*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"
|-
|+ Overview of the locations of the most common cardiac tumors
|-
!Location
!Tumor
|-
!left atrium
|
*Myxoma
*Thrombus
*Papillary fibroelastoma
*Sarcoma
|-
!Eight atrium
|
*Myxoma
*Angiosarcoma
*Lymphoma
*Thrombus
*Papillary fibroelastoma
|-
!Left ventricular
|
*Fibroma
*Rhabdomyoma
*Thrombus
*Papillary fibroelastoma
|-
!Right ventricle
|
*Fibroma
*Rhabdomyoma
*Angiosarcoma
*Lymphoma
*Thrombus
*Papillary fibroelastoma
|}


Primary malignant tumors
{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="600px"
angiosarcoma
|-
Most common primary malignant cardiac tumor
|+ Examples<cite>1</cite>
Location: 90% right atrium
|-
rhabdomyosarcoma
|Video
Second most common primary malignant cardiac tumor, often in children than adults
|align="center"|[[Image:TrombusRA.jpg|300px]]
Location: whole heart
|-
mesothelioma
!Myxoma LA
Cover visceral and parietal pericardium, no growth in endocardium.
!Thrombus RA
Secondary malignant tumors
|-
metastases
|Video
melanoma
|
lung Cancer
|-
breast cancer
!Vegetation TV
sarcoma
!
Renal cell carcinoma
|}
leukemia
lymphoma
Oesophagus cancer
hepatocellular carcinoma
thyroid cancer
 
Overview location most common cardiac tumors
Tumor location
left atrium
myxoma
trombus
papillary fibro - elastoom
sarcoma
right atrium
myxoma
angiosarcoma
lymphoma
trombus
papillary fibro - elastoom
left ventricular
fibroma
Rhobdomyoom
trombus
Papillary fibro - elastoom
right ventricle
fibroma
Rhabdomyoom
angiosarcoma
lymphoma
trombus
papillary fibro - elastoom
 
Examples
 trombusRA
LA myxoma Thrombus RA
 
vegetation TV


==References==
==References==
<biblio>
<biblio>
#1 Hamer, J.P.M. “Cardiale massa’s”, in: Hamer/Pieper, ‘Praktische echocardiografie’, (2006), 1e druk 2e oplage, Houten, Bohn Stafleu van loghum, p198-200.
#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.
#2 Pieper, P.G.. “Het hart als cardiale emboliebron”, in: Hamer/Pieper, ‘Praktische echocardiografie’, (2006), 1e druk 2e oplage, Houten, Bohn Stafleu van loghum, p.208-212.
</biblio>
</biblio>
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