Key result
Surgical excision of benign cardiac tumors carries ~5% mortality, while malignant prognosis remains poor.
Why the study?
The incidence, surgical outcomes, and prognosis of primary cardiac tumors, especially malignant types, require characterization over a long-term period.
Observational (n=101)
No
Answers are grounded in this paper and cite their sources.
Surgical excision of benign primary cardiac tumors yields excellent long-term results with low mortality, whereas malignant tumors have a poor prognosis and are rarely completely resectable.
During a 16-year period from 1980 to 1996, 101 patients with primary cardiac tumors underwent surgery at the 1st Affiliated Hospital of China Medical University, which represented 2.44% of 4142 open-heart surgical cases during this period. Most tumors were benign; 94 were myxomas, 2 were fibromas, and 1 was a hemangioma. Three myxomas were in the right atrium and 91 were in the left atrium. The 4 malignant tumors comprised 2 mesothelioma, 1 histiocytoma, and 1 right atrial malignant myxoma. All benign tumors were completely excised with 4.95% mortality. Only 1 malignant tumor was completely excised. In our experience, the long-term result of surgical treatment of benign cardiac tumors is excellent, whereas the prognosis for patients with malignant cardiac tumors is very poor. The incidence of malignant tumors was lower than in other studies.
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Jiu et al. (1997) conducted an observational in Primary cardiac tumors (n=101). Surgical excision was evaluated on Mortality for completely excised benign tumors. Surgical excision of benign primary cardiac tumors resulted in a 4.95% mortality rate and excellent long-term outcomes, whereas prognosis for malignant tumors remained very poor.
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