The role of echocardiography and CT in the diagnosis of cardiac tumors

Baumgartner, Rudolf; Das, Sunil K.; Shea, Michael J.; Lemire, Mary Sue; Gross, Barry H.

doi:10.1007/bf01801645

Cited by 15 publications

(7 citation statements)

References 5 publications

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“…After history-taking, echocardiography is the first diagnostic procedure (Figure 2) (11). If a cardiac tumor cannot be confirmed by echocardiog -raphy, further imaging procedures such as computed tomography (Figure 3) or magnetic resonance imaging are employed (8,12). Using 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT), we achieved a sensitivity of over 90% in differentiating benign and malignant processes ( Figure 4) (13).…”

Section: Diagnosismentioning

confidence: 99%

Cardiac Tumors

Hoffmeier

Sindermann²,

Scheld³

et al. 2014

Deutsches Ärzteblatt International

158

136

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Section: Diagnosismentioning

confidence: 99%

Cardiac Tumors

Hoffmeier

Sindermann²,

Scheld³

et al. 2014

Deutsches Ärzteblatt International

158

136

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“…The tumors may take the form of discrete myocardial masses (32), which have appeared as large, irregular, low-attenuation intracavitary lesions at CT (33,34) or as polypoid masses that are isointense relative to myocardium at MR imaging (Fig 2). Tumor infiltration of myocardium may appear as thickening and irregularity (Fig 3).…”

Section: Introductionmentioning

confidence: 98%

CT and MR Imaging of Primary Cardiac Malignancies

Araoz¹,

Eklund²,

Welch³

et al. 1999

RadioGraphics

327

203

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Primary cardiac malignancies are rare tumors that are difficult to diagnose clinically. Different primary cardiac malignancies may have different clinical, morphologic, and radiologic features and intracardiac locations. Angiosarcoma is the most common primary cardiac malignancy. It tends to occur in the right atrium and involve the pericardium. Because of its tendency to hemorrhage, angiosarcoma often demonstrates areas of increased signal intensity with T1-weighted sequences. Undifferentiated sarcomas typically occur in the left atrium and have variable epidemiologic and radiologic features. Rhabdomyosarcoma is the most common primary cardiac malignancy in children and is more likely than other primary cardiac sarcomas to involve the valves. Primary cardiac osteogenic sarcoma almost always occurs in the left atrium and frequently demonstrates calcification. Certain features (eg, broad base of attachment, origin at a site other than the atrial septum) help differentiate this tumor from left atrial myxoma. Leiomyosarcoma favors the left atrium and tends to invade the pulmonary veins and mitral valve. Fibrosarcoma also tends to occur in the left atrium and is often necrotic. Liposarcoma is very rare and usually manifests as a large, infiltrating mass. Foci of macroscopic fat are occasionally seen. Primary cardiac lymphoma occurs more commonly in immunocompromised patients, frequently involves the pericardium, and, unlike other primary cardiac malignancies, may respond to chemotherapy. The advent of cross-sectional imaging has allowed earlier detection of primary cardiac malignancies as well as more accurate diagnosis and characterization.

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“…The postoperative histopathology and immunohistochemical examination confirmed primary sarcomatoid carcinoma originating from ROVT. 9 Of course, the confirmed diagnosis of sarcomatoid carcinoma should be based on histological and immunohistochemical examinations. Moser KM et al 7 had found that many features of these two conditions were so similar that differential diagnosis was very difficult.…”

Section: Discussionmentioning

confidence: 99%

“…When multiple masses are detected with TTE or CT, primary sarcomatoid carcinoma should be considered in the differential diagnosis. 9 Of course, the confirmed diagnosis of sarcomatoid carcinoma should be based on histological and immunohistochemical examinations. 10 The patient was still alive ten months after surgery.…”

Section: Discussionmentioning

confidence: 99%

Coexistence of Primary Sarcomatoid Carcinoma of the Right Ventricle and Absence of Right Pulmonary Artery

Li²,

Zhu

et al. 2015

Echocardiography

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We describe the imaging features of a 48-year-old woman with primary sarcomatoid carcinoma originating from right ventricular outflow tract (RVOT) and isolated absence of right pulmonary artery (RPA). Computed tomography pulmonary angiography (CTPA) demonstrated the absence of RPA. Both transthoracic echocardiography (TTE) and CTPA revealed multiple masses filling and obstructing the RVOT. A palliative operation was performed on the patient, and the postoperative histopathology and immunohistochemical examination confirmed primary sarcomatoid carcinoma originating from the RVOT. The operation also confirmed the absence of RPA.

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The role of echocardiography and CT in the diagnosis of cardiac tumors

Cited by 15 publications

References 5 publications

Cardiac Tumors

Cardiac Tumors

CT and MR Imaging of Primary Cardiac Malignancies

Coexistence of Primary Sarcomatoid Carcinoma of the Right Ventricle and Absence of Right Pulmonary Artery

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