Primary heart tumors

Primary heart tumors are significantly less common than secondary tumors.

 Benign tumors 

Benign heart tumors include:

Myxoma of the heart
In 80% of cases it is located in the left atrium, in 15% in the right atrium, in 5% in the left or right ventricle. Cardiac myxoma can be accompanied by a variety of non-specific symptoms.
 * Clinical signs
 * in case of embolization: ischemia of organs supplied by the embolized artery;
 * in case of mitral orifice obstruction: dyspnoea, increased fatigue, cough, haemoptysis, pulmonary edema;i
 * n case of tricuspid orifice obstruction: symptoms of right heart failure.
 * Diagnostics
 * Anamnesis
 * Physical exam
 * Echocardiography
 * Therapy
 * surgical removal,
 * echocardiographic monitoring.
 * Carney syndrome = complex myxoma syndrome.
 * This is a rare syndrome in which myxoma of the heart is associated with:
 * multiple pigmented nevi,
 * adrenocortical hyperplasia
 * pituitary tumors,
 * multiple fibroadenomas of the breast,
 * Sertoli's testicular tumort,
 * cutaneous myxomas

Rhabdomyome
More detailed information can be found on the page rhabdomyome

Sarcomas

 * Angiosarkoma, rhabdomyosarkoma (fibrosarkoma, liposarkoma, osteosarkoma),
 * they occur at any age,
 * most often in the right atrium,
 * clinically: manifestations of heart failure, arrhythmias, precordial pain, pericardial effusion, cardiac tamponade, sudden cardiac death; embolization (tumor masses, thrombi; often into the CNS), pulmonary edema, syncope (in left atrial tumors); extracardiac metastases (lungs, mediastinum, spine, etc.); very unfavorable prognosis (approx. 3 months),
 * diagnosis: weight loss, clubbing fingers, heart failure, arrhythmias, pericardial friction murmur, diastolic murmur at the tip / regurgitation systolic murmur; the most ECHO, CT and MRI,
 * therapy: surgical removal, but mostly only palliative surgery.

Related articles

 * Heart tumors

Literature

 * KLENER, P, et al. Vnitřní lékařství. 3. vydání. Praha : Galén, 2006.
 * VANĚK, Ivan, et al. Kardiovaskulární chirurgie. 1. vydání. Praha : Karolinum, 2003. 236 s.