Grgat Dora, Dilber Daniel, Hrabak Paar Maja
Institute for Emergency Medicine of Zagreb County, Velika Gorica, Croatia.
School of Medicine, Department of Pediatrics, University of Zagreb, University Hospital Center Zagreb, Zagreb, Croatia.
Jpn J Radiol. 2023 May;41(5):477-487. doi: 10.1007/s11604-022-01371-1. Epub 2022 Dec 10.
Cardiac tumors are neoplasms arising from or located in the heart or the pericardium. Although rare, primary cardiac tumors in children require an accurate and timely diagnosis. Most pediatric primary cardiac tumors are benign (around 90%). Echocardiography is the first imaging modality used due to its availability, noninvasiveness, inexpensiveness, and absence of ionizing radiation. Computed tomography (CT) and magnetic resonance imaging (MRI) offer better soft tissue visualization as well as better visualization of extracardiac structures. A great advantage of MRI is the possibility of measuring cardiac function and blood flow, which can be important for obstructing cardiac tumors. In this article, we will offer a brief review of clinical, echocardiographic, CT, and MRI features of cardiac rhabdomyomas, fibromas, teratomas, and lipomas providing their differential diagnosis.
心脏肿瘤是起源于或位于心脏或心包的肿瘤。尽管罕见,但儿童原发性心脏肿瘤需要准确及时的诊断。大多数儿科原发性心脏肿瘤是良性的(约90%)。由于超声心动图具有可及性、无创性、成本低且无电离辐射等特点,它是首先使用的成像方式。计算机断层扫描(CT)和磁共振成像(MRI)能更好地显示软组织以及心脏外结构。MRI的一个很大优势是能够测量心脏功能和血流,这对于阻塞性心脏肿瘤可能很重要。在本文中,我们将简要回顾心脏横纹肌瘤、纤维瘤、畸胎瘤和脂肪瘤的临床、超声心动图、CT及MRI特征,并提供它们的鉴别诊断。