Key result
Surgical resection of primary cardiac tumors was possible in 9 of 10 patients, with one postoperative death and no other complications during a follow-up of 2 months to 5 years.
Why the study?
Primary cardiac tumors are rare, accounting for 0.001 to 0.03% of cardiac lesions, posing diagnostic and therapeutic challenges.
Observational (n=10)
No
Surgical resection is feasible for the majority of benign primary cardiac tumors and plays a key role in their management.
Answers are grounded in this paper and cite their sources.
Supports resection feasibility in rare tumors; leaves open need for larger prospective studies before changing practice.
Objectives: Primary cardiac tumors are rare and account for 0.001 to 0.03% of cardiac lesions. The authors aim to describe the clinical, the microscopic and the therapeutic characteristics of these tumors through a 13-year-experience in order to highlight the diagnostic challenges faced. Methods: We report 10 primary cardiac tumors diagnosed in the Departments of Pathology and Thoracic Surgery of the same hospital through a 13-year-period. Results: Our study was conducted on 7 women and 3 men. The mean age of the patients was 54.22 years (average, 12 to 79 years). Dyspnea represented the most frequent symptom. Physical examination was normal in all patients. Trans-thoracic ultra-sound examination was performed in all patients. Cardiac MRI allowed localizing the tumors in 2 patients. They were located into the left auricle (6 cases), the right auricle (1 case) and the pericardium (3 cases). The microscopic examination was concluded to myxoma (7 cases), haemangioma (2 cases) and hemangioendothelioma (1 case). Surgical resection was possible in 9 patients. It was impossible in the case of hemangioendothelioma because of the adherence. One death was recorded secondary to postoperative arrhythmia. The other patients presented no complications after a follow-up period ranging from 2 months to 5 years. Conclusion: Cardiac tumors are challenging in their diagnosis and management. A positive diagnosis is based on microscopic examination. Surgical treatment plays a key role and is possible in the majority of benign tumors. The prognosis of malignant tumors remains poor even if a complete surgical resection is possible.
No takes yet. Share an insight, caveat, or question.
Mlika et al. (2019) conducted an observational in Primary cardiac tumors (n=10). Surgical resection was evaluated on Clinical, microscopic and therapeutic characteristics. Surgical resection of primary cardiac tumors was possible in 9 of 10 patients, with one postoperative death and no other complications during a follow-up of 2 months to 5 years.
Synapse has enriched 10 related papers. Consider them for comparative context: