Cardiac Tumour
Oncology
ECHO in isolation often enough to make diagnosis (MRI/CT if need more information)
Antenatal
Benign (75%)
ALL can cause obstruction or arrhythmias inc WPW
ECHO in isolation often enough to make diagnosis (MRI/CT if need more information)
Antenatal
- Echogenic Intracardiac Focus
- common finding on antenatal scan (5%)
- Usually resolve by 3rd trimester
- weak association with T21/13
Benign (75%)
- Rhabdomyoma (most common)
- 80% are associated with TS
- Originate in myocardium, often extend into atria/ventricle
- Often multiple
- Natural history is self resolution, no Rx unless complications
- Fibroma (2nd)
- Usually isolated, and remain in myocardium
- Some exhibit loss of the tumor suppressor PTCH1
- Increased incidence in Gorlin syndrome (3%)
- Myxoma
- common in adults, rare in children
- usually atrial, pedunculated and mobile
- Others: hemangiomas, Purkinje cell tumors, papillomas, lipomas, and mesotheliomas
- secondary more common
- Wilms tumor
- Lymphoma/Leukemia
- primary
- Sarcomas (angiosarcomas, rhabdosarcomas, or fibrosarcomas)
- Lymphomas
- Pheochromocytomas
ALL can cause obstruction or arrhythmias inc WPW