Mercado-Guzman Marcela P, Meléndez-Ramírez Gabriela, Castillo-Castellon Francisco, Kimura-Hayama Eric
Departamento de Tomografía Cardiaca, Instituto Nacional de Cardiología Ignacio Chávez, México, DF, México.
Departamento de Resonancia Magnética, Instituto Nacional de Cardiología Ignacio Chávez, México, DF, México.
Arch Cardiol Mex. 2016 Oct-Dec;86(4):335-349. doi: 10.1016/j.acmx.2016.04.005. Epub 2016 May 18.
Cardiac tumors, are a rare pathology (0.002-0.3%) in all age groups, however, they have a clinic importance, due the affected organ. They are classified in primary (benign or malignant) and secondary (metastasis) types. Among primary type, mixoma, is the most common benign tumor, and sarcoma represents most of the malignant injuries. Cardiac metastasis are more frequent than primary tumors. Clinic effects of cardiac tumors are unspecific and vary according their location, size and agresivity. The use of Multidetector Computed Tomography (MDCT) and Magnetic Resonance Imaging (MRI) assist on the location, sizing, anatomical relationships and the compromise of adyacents structures, besides, MRI is useful for tissue characterization of the tumor. Due to the previous reasons, studies based on noninvasive cardiovascular imaging, have an important role on the characterization of these lesions and the differential diagnosis among them.
心脏肿瘤在所有年龄组中都是一种罕见的病理情况(0.002%-0.3%),然而,由于所累及的器官,它们具有临床重要性。它们分为原发性(良性或恶性)和继发性(转移瘤)类型。在原发性类型中,黏液瘤是最常见的良性肿瘤,而肉瘤则代表了大多数恶性病变。心脏转移瘤比原发性肿瘤更常见。心脏肿瘤的临床影响是非特异性的,并且根据其位置、大小和侵袭性而有所不同。除了多排螺旋计算机断层扫描(MDCT)和磁共振成像(MRI)有助于确定肿瘤的位置、大小、解剖关系以及对相邻结构的影响外,MRI还可用于肿瘤的组织特征分析。由于上述原因,基于无创心血管成像的研究在这些病变的特征分析及其鉴别诊断中具有重要作用。