Schmaltz A A, Apitz J
Cardiology. 1981;67(1):12-22. doi: 10.1159/000173224.
Primary heart tumors are rare. The findings in 4 children with heart tumors are reported: a rhabdomyosarcoma, a rhabdomyoma, a fibroma and a myxoma. The symptoms depend upon the location (intrapericardial, intramural or intracavitary). ECG and X-ray provide no essential diagnostic information; echocardiography can give a decisive diagnostic indication in parietal and intracavitary tumors. Surgery provides a specimen for histology, but the tumor cannot always be removed. The prognosis, therefore, depends upon the result of surgery, but malignant tumors, mostly being diagnosed too late, have a very bad prognosis.
原发性心脏肿瘤很罕见。本文报告了4例患有心脏肿瘤儿童的病例：1例横纹肌肉瘤、1例横纹肌瘤、1例纤维瘤和1例黏液瘤。症状取决于肿瘤位置（心包内、壁内或腔内）。心电图和X线检查无法提供关键诊断信息；超声心动图可为壁间和腔内肿瘤提供决定性诊断依据。手术可获取组织学标本，但肿瘤不一定总能被切除。因此，预后取决于手术结果，但恶性肿瘤大多诊断过晚，预后很差。
