Rathore Bhagyashree, Adamson Marissa E, Berklite Lara E, Debnath Pradipta, Kline-Fath Beth M, Miles Kimberley G, Morin Cara E, Schneider Kristin A
Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, 45229, USA.
University of Cincinnati Medical Center, Cincinnati, USA.
Pediatr Radiol. 2025 Oct 22. doi: 10.1007/s00247-025-06431-y.
Although rare in the pediatric population, cardiac tumors represent a significant portion of prenatally detected masses, second only to sacrococcygeal teratomas. Fetal cardiac masses are predominantly benign, with rhabdomyoma being the most common fetal cardiac mass in the setting of tuberous sclerosis. Multiple lesions are pathognomonic for rhabdomyomas and prompt evaluation for tuberous sclerosis. Fibroma, teratoma, and hemangioma are other consistently detected cardiac tumors. In this article, we review the epidemiology, imaging, treatment, and outcomes of these fetal cardiac masses, emphasizing the role of imaging in surveillance, identifying complications, refining the differential diagnosis, and recognizing potential diagnostic pitfalls.
尽管心脏肿瘤在儿科人群中较为罕见，但却是产前检测到的肿块的重要组成部分，仅次于骶尾部畸胎瘤。胎儿心脏肿块大多为良性，横纹肌瘤是结节性硬化症背景下最常见的胎儿心脏肿块。多个病灶是横纹肌瘤的特征性表现，提示需对结节性硬化症进行及时评估。纤维瘤、畸胎瘤和血管瘤是其他经常检测到的心脏肿瘤。在本文中，我们回顾了这些胎儿心脏肿块的流行病学、影像学、治疗及预后情况，重点强调了影像学在监测、识别并发症、完善鉴别诊断及认识潜在诊断陷阱方面的作用。
