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KMID : 0390619950030010085
Journal of Cardiovascular Ultrasound
1995 Volume.3 No. 1 p.85 ~ p.96
Echocardiographic Findings in Cardiac Tumors
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Abstract
Primary tumors of the heart are uncommon and their incidence in autopsy series ranges from 0.0017 to 0.29 per cent. About 75 per cent of all cardiac tumors are histologically benign and the remainder are malignant. The majority of benign cardiac
tumors
are myxoma. Comprising 30 to 50 per cent of the total cases in most pathological series and the majority of malignant cardiac tumors are sarcoma.
But tumors metastatic to the heart are far more common than primary cardiac tumors and actually appear to be increasing in incidence because of prolonged survival of cancer patients.
We experienced six cases of cardiac tumors which were diagnosed with echocardiography : 2 hepatocellular carcinoma. I malignant melanoma. I malignant fibrous histiocytoma. I lipoma. And 1 myxoma. The mean age of the 3 men and 3 women was 50(range
28 to
71). Two patients with right atrial metastasis from hepatocellular carcinoma and one patients with metastasis from malignant melanoma expired during conservative management. Two benign cardiac tumors(1 lipoma and 1 myxoma) were successfully
excised
and
later follow-up echocardiography showed no signs of tumor recurrence. One patients with biatrial recurrence of malignant histiocytoma was treated medically and expired 4 months later.
KEYWORD
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