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==[[Primary tumors of the heart pathophysiology|Pathophysiology]]==
==[[Primary tumors of the heart pathophysiology|Pathophysiology]]==
==[[Primary tumors of the heart natural history|Natural History, Complications & Prognosis]]==


==Diagnosis==
==Diagnosis==
[[Primary tumors of the heart electrocardiogram|Electrocardiographic Findings]] | [[Primary tumors of the heart CT|CT]] | [[Primary tumors of the heart MRI|MRI]]
[[Primary tumors of the heart electrocardiogram|Electrocardiographic Findings]] | [[Primary tumors of the heart CT|CT]] | [[Primary tumors of the heart MRI|MRI]] | [[Primary tumors of the heart pathological findings|Pathological Findings]]
 
===Pathological Findings===
 
Image shown below is courtesy of Professor Peter Anderson DVM PhD and published with permission. [http://www.peir.net © PEIR, University of Alabama at Birmingham, Department of Pathology]
 
 
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Image:Cardiac tumor 1.jpg|HEART: Metastatic Tumor: Gross very unusual large metastatic carcinoid in [[right atrium]]
Image:Cardiac tumor 2.jpg|Cardiac Myxoma A gelatinous tumor is attached by a narrow pedicle to the atrial septum. The myxoma has an irregular surface and nearly fills the left atrium.
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<div align="left">
<gallery heights="175" widths="175">
Image:Cardiac tumor 3.jpg|Cardiac Myxoma There was a calcified right atrial mass on the X ray of a 47-year-old man. Resection demonstrated a smooth-surfaced tumor. The gritty material seen microscopically on cut section was calcified and ossified myxoma.
Image:Cardiac tumor 4.jpg|Cardiac Fibroma Cut surface of the tumor shown in figure 6-2. The left ventricular (LV) cavity is present behind the mass. The patient was a 4-month-old child who died suddenly without a previous medical history.
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<div align="left">
<gallery heights="175" widths="175">
Image:Cardiac tumor 5.jpg|This tumor was resected from the right atrium of a 1-year-old boy with pericardial effusions. Note areas of hemorrhage and dilated vessels. The patient was well 49 months postoperatively.
Image:Papillary fibroelastoma.jpg|Papillary fibroelastomas are often on the arterial surface and may project into the coronary ostium, causing ostial occlusion. This tumor is in the noncoronary sinus.
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== Prognosis ==
 
The vast majority of the tumors of the heart have a benign course and are not directly fatal.  However, even the benign tumors of the heart can be lethal due to either direct extension into the electrical conduction system of the heart (causing [[third degree AV block|complete heart block]] or a fatal dysrhythmia), or due to [[embolism|emboli]] from the tumor mass that may have lethal sequelae.
 
The malignant tumors of the heart have a worse prognosis.  Cardiac sarcomas generally lead to death within 2 years of diagnosis, due to rapid infiltration of the myocardium of the heart and obstruction of the normal flow of blood within the heart.<ref name="Burke-Sarcoma">{{cite journal | author=Burke AP, Cowan D, Virmani R | title=Primary sarcomas of the heart | journal=Cancer | year=1992 | volume=69 | issue=2 | pages=387-95 | id=PMID 1728367}}</ref><ref name="Burke-Osteosarcoma">{{cite journal | author=Burke AP, Virmani R | title=Osteosarcomas of the heart | journal=Am J Surg Pathol | year=1991 | volume=15 | issue=3 | pages=289-95 | id=PMID 1705103}}</ref>
 
==References==
{{Reflist|2}}


==See also==
==See also==

Revision as of 01:54, 6 September 2011

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

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