Cardiac tumors

Casavecchia, Grazia; Lestuzzi, Chiara; Gravina, Matteo; Corrado, Giovanni; Tusa, Maurizio; Brunetti, Nicoletta; Manuppelli, Vincenzo; Monte, InesPaola

doi:10.4103/jcecho.jcecho_7_19

Cited by 12 publications

(17 citation statements)

References 65 publications

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“…Lipoma may arise more frequently from subendocardium but can have also an intramural development or arise from epicardium (in this last case it may become particularly large). [ 26 ] Echocardiography is the front-line screening method: Lipoma appears like a homogeneous echogenic structure that, in case of intracavitary development, can be better delineated with contrast. As with other benign tumors, however, it presents limited perfusion after contrast enhanced US examination, so that other imaging modalities are necessary for defining the true nature.…”

Section: Ipomamentioning

confidence: 99%

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Imaging of Cardiac Masses

Nocco¹,

Parato²,

Alunni³

et al. 2022

Journal of Cardiovascular Echography

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Studying cardiac masses is one of the most challenging tasks for cardiac imagers. The aim of this review article is to focus on the modern imaging of cardiac masses proceeding through the most frequent ones. Cardiac benign masses such as myxoma, cardiac papillary fibroelastoma, rhabdomyoma, lipoma, and hemangioma are browsed considering the usefulness of most common cardiovascular imaging tools, such as ultrasound techniques, cardiac computed tomography, cardiac magnetic resonance, and in the diagnostic process. In the same way, the most frequent malignant cardiac masses, such as angiosarcoma and metastases, are highlighted. Then, the article browses through nontumoral masses such as cysts, mitral caseous degenerative formations, thrombi, and vegetations, highlighting the differential diagnosis between them. In addition, the article helps in recognizing anatomic normal variants that should not be misdiagnosed as pathological entities.

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Section: Ipomamentioning

confidence: 99%

“…Unlike other sarcomas, about 80% of the angiosarcomas involve the right atrial free wall and may extend to the pericardium, causing right ventricular inflow tract obstruction, pericardial tamponade, and lung metastasis. [ 26 ]…”

Section: A Ngiosarcomamentioning

confidence: 99%

Imaging of Cardiac Masses

Nocco¹,

Parato²,

Alunni³

et al. 2022

Journal of Cardiovascular Echography

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“…Cardiac tumours are often asymptomatic, they may present in rare cases with symptoms of heart failure most likely due to pericardial effusion or obstruction, arrhythmias, or embolic phenomena. 7 We report the rare case of a patient presenting with incessant tachycardia due to a cardiac relapse of an extranodal NK/T-cell lymphoma of the nasal type. The patient gave written informed consent for a publication of a case report.…”

Section: Introductionmentioning

confidence: 99%

Cardiac relapse of extranodal NK/T-cell lymphoma manifesting as incessant ventricular tachycardia: a case report

Kolesnik

Stangl

Haring

et al. 2022

European Heart Journal - Case Reports

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Background Cardiac tumours are rare but affected patients may present with symptoms mimicking other cardiac diseases. The most frequent symptoms include heart failure, arrhythmias, or embolic phenomena. Case Summary A 39-year-old man with a history of extranodal NK/T Cell Lymphoma of the nasal type (ENKTL-NT) in clinical remission presented at our department with incessant ventricular tachycardia. The arrhythmia could only be controlled with a combination of intravenously administered betablockers, ajmaline, and amiodarone. Diagnostic workup excluded ischemia, but imaging revealed a tumour located in the apex of the left ventricle. Endomyocardial biopsy confirmed the diagnosis of cardiac relapse of ENKTL-NT. Upon chemotherapy no further arrhythmias developed. Discussion Many malignancies can metastasize into the heart. Multimodal imaging including echocardiography, cardiac magnetic resonance imaging, and a positron emission tomography – computed tomography (PET-CT) paved the way to the diagnosis that was finally established by endomyocardial biopsy. In the present case, a cardiac metastasis from an ENKTL-NT presented with incessant ventricular tachycardia.

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“…Surgical resection is the mainstay treatment for benign tumors, whereas surgery, chemotherapy, and/or radiotherapy can be chosen for the treatment of malignant tumors depending on their pathological type and disease status. [ 1 ] Thus, identifying the nature of a mass is a prerequisite for rational treatment selection. The conventional transthoracic TTE is the preferred method for the diagnosis of cardiac space-occupying lesions as it can reveal the baseline information, such as location, size and morphology.…”

Section: Introductionmentioning

confidence: 99%

Rare malignant spindle cell sarcoma of the left atrium diagnosed with TEE

Sun¹,

Wang²,

Zhang³

et al. 2021

Medicine

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Introduction: One of the purposes of echocardiography is to determine the nature of a space-occupying lesion. The conventional transthoracic echocardiogram (TTE) is the preferred method for the diagnosis of cardiac space-occupying lesions as it can reveal the baseline information. For patients with poor conditions, however, TTE cannot clearly display the boundary, it has a limited role in determining the nature of the lesions. Patient concerns: A 47-year-old woman presented with intermittent fever for 7 days and chest distress/shortness of breath for 5 days. Diagnosis: In our current case, we inferred the nature of space-occupying lesions in the left atrium more accurately using transesophageal echocardiography (TEE) than TTE, which may offer diagnostic evidence for surgical treatment. Interventions: The patient underwent surgical resection of the left atrial tumor and reconstruction of the left atrial wall. However, the patient's posterior lobe of the mitral valve was infiltrated by tumor, which was difficult to completely remove. Outcomes: Echocardiography was performed 3 months after surgery and the tumor recurred in the posterior lobe of the mitral valve. Although almost all tumors have been removed by surgery, the average survival time is often less than 1 year, as it is difficult to completely remove and easy to relapse with poor prognosis. Conclusion: Transesophageal echocardiography (TEE) plays a relatively more important role in the determination and differential diagnosis of cardiac space-occupying lesions

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Cardiac tumors

Cited by 12 publications

References 65 publications

Imaging of Cardiac Masses

Imaging of Cardiac Masses

Cardiac relapse of extranodal NK/T-cell lymphoma manifesting as incessant ventricular tachycardia: a case report

Rare malignant spindle cell sarcoma of the left atrium diagnosed with TEE

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