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                                  Fibrous Hamartoma of Infancy

       Dr Sampurna Roy MD

 


                 

Primary tumours of the heart (excluding cysts and pericardial tumours) are very rare. Three quarters of the tumors are benign.

Before 1951, the diagnosis of intracardiac tumours was made only at postmortem examination; in that year the diagnosis of an intracavitary left atrial tumor was confirmed by angiocardiography.

The introduction of echocardiography has greatly facilitated the antemortem diagnosis of cardiac tumours. Supplemental diagnostic imaging methods include computed tomography (CT) and nuclear magnetic resonance imaging (MRI).

Their nature and distribution of cardiac tumours according to age is shown below:

              

Benign tumours exclusively occur in children (< 16 yrs.) :

1. Rhabdomyomabutton26a.gif (6178 bytes)

2. Purkinje cell tumourbutton26a.gif (6178 bytes)

3. Teratomabutton26a.gif (6178 bytes)

Benign tumours exclusively occur in adults :

1. Papillary fibroelastomabutton26a.gif (6178 bytes)

2. Lipomatous hypertrophy of atrial septumbutton26a.gif (6178 bytes)

3. Lipomabutton26a.gif (6178 bytes)

4. Paragangliomabutton26a.gif (6178 bytes)

Benign tumours irrespective of age :

1.  Myxomabutton26a.gif (6178 bytes)

2. Hemangiomabutton26a.gif (6178 bytes)

3. Mesothelioma of atrioventricular nodebutton26a.gif (6178 bytes)

4. Fibromabutton26a.gif (6178 bytes)

Malignant tumours exclusively occur in adults :

1. Osteosarcomabutton26a.gif (6178 bytes)

2. Synovial sarcomabutton26a.gif (6178 bytes)

3. Liposarcomabutton26a.gif (6178 bytes)

4. Malignant schwannomabutton26a.gif (6178 bytes)

Malignant tumours of heart observed in all ages :

1. Angiosarcomabutton26a.gif (6178 bytes)

2. Malignant fibrous histiocytoma (MFH)button26a.gif (6178 bytes)

3. Leiomyosarcomabutton26a.gif (6178 bytes)

4. Fibrosarcomabutton26a.gif (6178 bytes)

5. Myxosarcomabutton26a.gif (6178 bytes)

6. Rhabdomyosarcomabutton26a.gif (6178 bytes)

                  

       Visit : REPORTING OF CARDIAC TUMOURS

[ Ref: 1) Tumors of the Heart and Great Vessels. Washington, DC: Armed Forces Institute of Pathology; 1996. Atlas of Tumor Pathology; 3rd series, fascicle 16.

2) Primary cardiac and pericardial neoplasms: radiologic-pathologic correlation.Radiographics. 2000 Jul-Aug;20(4):1073-103; quiz 1110-1, 1112.

3)Primary cardiac tumors. Ann Surg 1980;191:127-138  ]

                   

 
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