Evaluación de tumores cardiacos por tomografía computada multidetector y resonancia magnética cardiaca

Mercado-Guzman, Marcela P.; Meléndez-Ramírez, Gabriela; Castillo-Castellón, Francisco; Kimura‐Hayama, Eric

doi:10.1016/j.acmx.2016.04.005

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…On MRI, the tumor is isointense on T1 and hyperintense on T2, compared to myocardium and does not enhance with contrast, which allows distinguishing it from fibroma when it is intramural. On MDCT, the tumor is hypodense compared to the myocardium, even after contrast 11,12 (Fig. 5).…”

Section: Discussionmentioning

confidence: 98%

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Importance of heart rhabdomyoma in pediatric population. A 39-year experience. Case series

Chía-Vázquez¹,

Fuentes-Ramos²,

Patiño-Bahena³

et al. 2021

ACME

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Introduction: Rhabdomyomas are the most prevalent benign heart tumors in the fetal stage and during childhood. Objective: Our objective is to make known our experience over 39 years in pediatric patients with rhabdomyoma in our institution, as well as to emphasize the importance of its detection, study and control due to the association it has with tuberous sclerosis (TS). Materials and methods: We conducted a retrospective, descriptive, and cross-sectional study, from January 1980 to March 2018. Twenty-four met our criteria; we collected information regarding the clinic and cabinet studies, as well as their evolution and the treatment given. They were called by telephone to know their evolution and current status. Results: We found 51 patients with a diagnosis of cardiac tumor, of which 24 were rhabdomyomas. The diagnosis was made prenatal in eight patients, five at birth, and in 11 during the 1 st year of life. The most frequent clinical manifestations were the presence of murmur, arrhythmias, cyanosis, dyspnea, and diaphoresis. In 17 of them a diagnosis of TS was made. Half had follow-up by neurology, ten by dermatology, eight by ophthalmology, and four with genetics. Half were left under surveillance, seven were given medical treatment and five required surgery. Regarding the clinical evolution 17 patients remained stable, five presented spontaneous regression and two died. Conclusions: Rhabdomyoma is a rare benign tumor, its evolution can be malignant and associated with TS, it darkens the prognosis.

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Section: Discussionmentioning

confidence: 98%

“…2). Magnetic resonance imaging (MRI) and multidetector computed tomography (MDCT) have enabled better evaluation of these lesions 11 .…”

Section: Importance Of Heart Rhabdomyoma In Pediatric Population a 39-year Experience Case Series Introductionmentioning

confidence: 99%

Importance of heart rhabdomyoma in pediatric population. A 39-year experience. Case series

Chía-Vázquez¹,

Fuentes-Ramos²,

Patiño-Bahena³

et al. 2021

ACME

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“…En la RM el tumor se muestra isointenso en T1 e hiperintenso en T2, comparado con el miocardio y no realza con contraste, lo que permite distinguirlo del fibroma cuando es intramural. En la TCMD el tumor es hipodenso comparado al miocardio aun posterior al contraste 11 , 12 ( Fig. 5 ).…”

Section: Discussionunclassified

“…( Fig. 2 ) La resonancia magnética (RM) y la tomografía computarizada multidetector (TCMD) han permitido una mejor evaluación de estas lesiones 11 .…”

Section: Introductionunclassified

Importancia del rabdomioma cardiaco en población pediátrica. Experiencia de 39 años. Serie de casos

Chía-Vázquez¹,

Fuentes-Ramos²,

Patiño-Bahena³

et al. 2021

ACM

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Introducción: Los rabdomiomas son los tumores cardiacos benignos más prevalentes en la etapa fetal y durante la infancia. Objetivo: Nuestro objetivo es dar a conocer nuestra experiencia durante 39 años en pacientes pediátricos con rabdomioma en nuestra institución, así como enfatizar la importancia de su detección, estudio y control por la asociación que tiene con esclerosis tuberosa (ET). Material y métodos: Realizamos un estudio retrospectivo y descriptivo, de enero de 1980 a marzo del 2018. Veinticuatro cumplieron con nuestros criterios, recogimos información respecto a la clínica y estudios de gabinete, así como su evolución y el tratamiento dado. Se les llamó vía telefónica para conocer su evolución y estado actual. Resultados: Encontramos 51 pacientes con diagnóstico de tumor cardiaco, de los cuales 24 eran rabdomiomas. El diagnóstico se hizo prenatal en 8 pacientes, 5 al nacimiento y en 11 durante el primer año de vida. Las manifestaciones clínicas más frecuentes fueron la presencia de soplo, arritmias, cianosis, disnea y diaforesis. En 17 de ellos se hizo diagnóstico de ET. La mitad tuvo seguimiento por neurología, 10 por dermatología, 8 por oftalmología y 4 con genética. La mitad se dejó en vigilancia, a 7 se les dio tratamiento médico y 5 requirieron cirugía. En cuanto a la evolución, 17 pacientes se mantuvieron estables, 5 presentaron regresión espontánea y 2 fallecieron. Conclusiones: El rabdomioma es un tumor benigno poco frecuente, su evolución puede ser maligna y asociado a ET ensombrece el pronóstico.

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“…Microscopically, they are comprised of stellate cells with eosinophilic cytoplasm and indistinct cell borders within a myxoid stroma with variable fibrosis and calcifications identified. Most of these cases are sporadic, however, 10% are associated with Carney syndrome (12,13).…”

Section: Original Articlementioning

confidence: 99%

Primary Cardiac Tumors in Infancy: A Case Report and Literature Review

Domínguez

Perkins

Duque³

et al. 2017

Academic Forensic Pathology

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Sudden death in infants due to primary cardiac tumors is extremely rare. Herein we describe a case of an 8-month-old male infant, without any previous medical history, who died in a hospital in the city of Medellín-Antioquia, Colombia. The family stated that approximately 15 minutes after he received a bottle, the baby became cyanotic and subsequently lost consciousness. He was taken to the hospital immediately; however, he arrived lifeless. As this was a sudden death case, the child was referred to the Institute of Legal Medicine and Forensic Sciences in the city of Medellín to clarify the cause, manner, and mechanism of death. The forensic autopsy revealed a eutrophic infant with central and peripheral cyanosis, without signs of trauma, and the internal examination found a single cardiac tumor in the anterior wall of the left ventricle. The mass was white and whorled; histological evaluation diagnosed a fibroma. The manner of death was natural due to a cardiogenic shock caused by a primary tumor.

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Evaluación de tumores cardiacos por tomografía computada multidetector y resonancia magnética cardiaca

Cited by 8 publications

References 22 publications

Importance of heart rhabdomyoma in pediatric population. A 39-year experience. Case series

Importance of heart rhabdomyoma in pediatric population. A 39-year experience. Case series

Importancia del rabdomioma cardiaco en población pediátrica. Experiencia de 39 años. Serie de casos

Primary Cardiac Tumors in Infancy: A Case Report and Literature Review

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