Sheng Chuqiao, Yang Chunfeng, Cheng Yongkang, Li Yu-Mei
Department of Pediatric Intensive Care Unit, The First Hospital of Jilin University, Changchun, China.
Front Cardiovasc Med. 2022 Oct 21;9:947716. doi: 10.3389/fcvm.2022.947716. eCollection 2022.
Primary cardiac tumors in children are exceedingly rare overall, which benign account for most part. The onset of the disease is occult, while the clinical manifestations are non-specific-patients may be asymptomatic or show a range of obstructive, arrhythmic, embolic or systemic symptoms. The clinical presentations generally depend on the tumors' size, localization, and pace of growth of the tumor. Moreover, the diagnosis needs comprehensive judgment based on imaging results and pathological examination. With advances in cardiac imagining and the introduction of cardiopulmonary support, the diagnosis and treatment of these rare tumors have improved the prognosis and outlook for benign tumors. To sum up the above, we sought to integrate articles from recent years for the latest comprehensive review of the clinical manifestations, imaging characteristics, clinic pathologic features and treatment of benign cardiac tumors in children to provide a broader idea for pediatricians to recognize and treat such diseases.
儿童原发性心脏肿瘤总体上极为罕见,其中大多数为良性。该病起病隐匿,临床表现无特异性,患者可能无症状,或表现出一系列梗阻性、心律失常性、栓塞性或全身性症状。临床表现通常取决于肿瘤的大小、位置以及生长速度。此外,诊断需要基于影像学结果和病理检查进行综合判断。随着心脏影像学的进展以及心肺支持技术的引入,这些罕见肿瘤的诊断和治疗改善了良性肿瘤的预后和前景。综上所述,我们试图整合近年来的文章,对儿童良性心脏肿瘤的临床表现、影像学特征、临床病理特征及治疗进行最新的全面综述,为儿科医生认识和治疗此类疾病提供更广泛的思路。