Lichtenberger John P, Carter Brett W, Pavio Michael A, Biko David M
The George Washington University Medical Faculty Associates, 900 23rd Street Northwest, Suite G 2092, Washington, DC 20037, USA.
Department of Thoracic Imaging, MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1478, Houston, TX 77030, USA.
Radiol Clin North Am. 2021 Mar;59(2):231-242. doi: 10.1016/j.rcl.2020.10.002. Epub 2020 Dec 29.
Cardiac neoplasms are a diagnostic challenge on many levels. They are rare, their clinical presentation may mimic other much more common cardiac diseases, and they are at an uncommon intersection of oncologic and cardiac imaging. The pathology of primary cardiac neoplasms explains their varied imaging features, for example, calcification in primary cardiac osteosarcomas and T2 hyperintensity in myxomas. Integrating the imaging and pathologic features of cardiac tumors furthers our understanding of the spectrum of appearances of these neoplasms and improves the clinical imager's ability to confidently make a diagnosis.
心脏肿瘤在多个层面上都是诊断难题。它们很罕见,临床表现可能与其他更为常见的心脏疾病相似,而且处于肿瘤学和心脏成像这一不常见的交叉领域。原发性心脏肿瘤的病理学解释了其多样的影像学特征,例如原发性心脏骨肉瘤中的钙化以及黏液瘤中的T2高信号。整合心脏肿瘤的影像学和病理学特征能加深我们对这些肿瘤表现谱的理解,并提高临床影像医生自信做出诊断的能力。