Primary tumors of the heart

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Primary tumors of the heart
Papillary fibroelastoma.jpg
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Chest pain, dyspnea, palpitations, syncope
Complications Heart failure, arrhythmias, embolism
Onset Varies by type
Duration Varies by type
Types Myxoma, Rhabdomyoma, Fibroma, Papillary fibroelastoma, Hemangioma, Lipoma, Sarcoma
Causes Unknown, possibly genetic predisposition
Risks Genetic syndromes, radiation exposure
Diagnosis Echocardiography, MRI, CT scan, biopsy
Differential diagnosis Metastatic tumors, thrombus, infective endocarditis
Prevention None specific
Treatment Surgical resection, radiotherapy, chemotherapy
Medication N/A
Prognosis Depends on type and stage
Frequency Rare
Deaths Varies by type and treatment


Atrial myxoma

Primary tumors of the heart are a group of tumors that originate in the heart. They are relatively rare compared to secondary or metastatic tumors, which are more common. The most common type of primary heart tumor is the myxoma.

Types

Primary heart tumors can be classified into benign and malignant types. The most common benign tumors include myxomas, lipomas, fibromas, and papillary fibroelastomas. Malignant tumors, which are less common, include sarcomas and lymphomas.

Myxomas

Myxomas are the most common type of primary heart tumor. They usually occur in the atriums, particularly the left atrium. Symptoms can vary and may include shortness of breath, fatigue, and palpitations.

Lipomas

Lipomas are benign tumors made up of fat cells. They can occur anywhere in the body, including the heart. Symptoms are usually absent unless the tumor is large.

Fibromas

Fibromas are benign tumors made up of fibrous or connective tissue. They can occur anywhere in the body, including the heart. Symptoms are usually absent unless the tumor is large.

Papillary Fibroelastomas

Papillary fibroelastomas are benign tumors that usually occur on the valves of the heart. They can cause symptoms such as shortness of breath and chest pain.

Sarcomas

Sarcomas are malignant tumors that can occur in various tissues, including the heart. They are relatively rare.

Lymphomas

Lymphomas are cancers that begin in the cells of the immune system. They can also occur in the heart, although this is rare.

Diagnosis

Diagnosis of primary heart tumors is often challenging due to their rarity and the nonspecific nature of their symptoms. Imaging tests such as echocardiography, computed tomography (CT) scan, and magnetic resonance imaging (MRI) are commonly used. In some cases, a biopsy may be needed to confirm the diagnosis.

Treatment

Treatment of primary heart tumors depends on the type and location of the tumor, as well as the patient's overall health. Options may include surgery, radiation therapy, and chemotherapy.

Prognosis

The prognosis for primary heart tumors varies widely depending on the type of tumor and the patient's overall health. In general, benign tumors have a better prognosis than malignant tumors.

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Contributors: Prab R. Tumpati, MD