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Q: cardiac tumors ( Answered 5 out of 5 stars,   1 Comment )
Question  
Subject: cardiac tumors
Category: Health > Conditions and Diseases
Asked by: mike1955-ga
List Price: $150.00
Posted: 06 Nov 2004 08:32 PST
Expires: 06 Dec 2004 08:32 PST
Question ID: 425310
I am preparing a PowerPoint presentation on cardiac and pericardial
tumors for a lecture I will deliver on Tuesday, November 9. I am
seeking photo images of common cardiac tumors to illustrate the
lecture. Tumors of interest are: myxoma, papillary fibroelastoma,
rhabdomyoma, sarcoma, metastatic carcinoma to heart, metastatic
melanoma to heart, angiosarcoma.
Answer  
Subject: Re: cardiac tumors
Answered By: bobbie7-ga on 06 Nov 2004 11:43 PST
Rated:5 out of 5 stars
 
Hello MIke1955,

Below you will find the results of my research forimages of cardiac tumors.


======
Myxoma
======

?The left atrium has been opened to reveal the most common primary
cardiac neoplasm--an atrial myxoma. These benign masses are most often
attached to the atrial wall, but can arise on a valve or in a
ventricle. They can produce a "ball valve" effect by intermittently
occluding the atrioventricular valve orifice. Embolization of
fragments of tumor may also occur. Myxomas are easily diagnosed by
echocardiography.?
http://medlib.med.utah.edu/WebPath/jpeg5/CV146.jpg
Taken from:
http://medlib.med.utah.edu/WebPath/CVHTML/CV146.html


myxoma_atrial.jpg 
http://picture.med.yale.edu/scripts/PortWeb.dll?quickfind=myxoma_atrial.jpg&template=Preview&catalog=beta
Taken from: Yale School of Medicine
http://picture.med.yale.edu/scripts/PortWeb.dll?quickfind=downing&catalog=beta&template=ComplexCollect&offset=32


This is a myxoma, the most common primary neoplasm of the heart. This
tumor, usually occurring at this site, is benign, but may act as a
ball valve, obstructing the mitral valve and leading to heart failure.
http://www.som.tulane.edu/classware/pathology/medical_pathology/McPath/GR_Heart/Heart29.html


"This is a bisected myxoma measuring 4-5 cm in greatest diameter. The
relatively smooth but nodular variegated surface is seen on the left,
and the cut surface on the right. The cut surface has a mucoid
glistening variegated appearence characteristic of myxomatous tumors.
This is a solid mass lesion, but some cardiac myxomas have a delicate
papillary form similar to a sea anemone. The individual papillae can
break off, embolize, and thereby call attention to the possible
presence of a cardiac myxoma, among other possibilities."
http://danilhammoudimd_1.tripod.com/cardio1/0a8b0440.gif
Taken from this webpage:
http://danilhammoudimd_1.tripod.com/cardio1/id5.htm


Heart Myxoma
Medical Illustration showing a cardiac myxoma in the heart's left atrium.
http://www.ctisus.org/gallery/heart_myexoma.html
http://www.ctisus.org/gallery/images/vascular/heart_tumors/heart_myexoma.jpg
Taken from :
http://www.ctisus.org/gallery/vascular_heart_tumors.html


Six images of Myxoma
http://www.emedicine.com/asp/image_search.asp?query=Myxoma


Myxoma illustration
http://www.ctsnet.org/residents/ctsn/graphics/cardtum1.jpg
Taken from
http://www.ctsnet.org/residents/ctsn/archives/31txt.html

(Fig. 30) demonstrates a myxoma occurring on the tip of the anterior
mitral valve leaflet of an asymptomatic individual (who had an
echocardiographic study as a part of an insurance physical).
Fig. 30 2-D parasternal left ventricular long-axis view showing a
myxoma of the anterior mitral valve leaflet (arrowed).
http://www.echoincontext.com/int2/skillI2_fig30.html
Taken from:
http://www.echoincontext.com/int2/skillI2_09.asp


"Left atrial myxomas. 
A. More polypoid and irregular. 
B. Smooth surfaced and rounded. Attachment to and portion of the
atrial septum is seen on each tumor.
C. An asymptomatic sessile myxoma attached above the posterior leaflet
of the mitral valve was found coincidentally at necropsy."
http://www.rjmatthewsmd.com/Definitions/pop/78afig.htm?colMode=colModeView
Taken from:
http://www.rjmatthewsmd.com/Definitions/cardiac_tumors.htm

Illustration
http://health.yahoo.com/health/ency/adam/000196/i18078


=======================
Papillary Fibroelastoma
=======================


Papillary fibroelastoma of the left atrium in a 3-year-old boy. Images
http://www.health.gov.mt/impaedcard/issue/Issue17/sierigg/sierigg.htm
http://www.health.gov.mt/impaedcard/issue/Issue17/pdf/sierigg.pdf


Papillary fibroelastoma of the tricuspid valve.
Copyright Armed Forces Institute of Pathology.
http://www2.umdnj.edu/~shindler/papfibro.html


Papillary fibroelastoma of the mitral valve. 
Click on image p.328 at the bottom of the page  to see a larger version.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=325283


Click on image p.220 at the bottom of the page  to see a larger
version http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=325001


Embolizing Papillary Fibroelastoma of the Mitral Valve 
Click on images at the bottom of the page to enlarge
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=324961


Papillary Fibroelastoma Involving the Left Ventricular Wall
See Figure 2. Gross specimen of a papillary fibroelastoma removed from
the left ventricle.
http://www.medreviews.com/pdfs/articles/RICM_43_184.pdf


Cardiac valvular papillary fibroelastoma: a report of 2 cases.
Click on image at the bottom of the page to enlarge
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=325669


Endocardial papillary fibroelastoma
http://alf3.urz.unibas.ch/pathopic/e/getpic-fra.cfm?id=2944


See Figure1 to Figure4
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000700009


===========
Rhabdomyoma
===========

rhabdomyoma.jpg
http://picture.med.yale.edu/scripts/PortWeb.dll?quickfind=rhabdomyoma.jpg&template=Preview&catalog=beta
Source: 
Yale School of Medicine: Yale Medical Image Teaching Collection
http://picture.med.yale.edu/imagesearch.html


This two year old child died suddenly. At autopsy, a large firm, white
tumor mass was found filling much of the left ventricle. This is a
cardiac rhabdomyoma. Such primary tumors of the heart are rare.
http://medlib.med.utah.edu/WebPath/jpeg5/CV075.jpg 
Taken from:
http://medlib.med.utah.edu/WebPath/CVHTML/CV075.html


"Cardiac Rhabdomyosarcoma, primary malignant tumour of the myocardium.
This tumour usually diffusely infiltrates the myocardium and less
often appears as a polypoid intracavitary mass."
See image on the right side of the webpage
http://www.amershamhealth.com/medcyclopaedia/Volume%20V%202/rhabdomyosarcoma%20cardiac.asp


Here are four images of Rhabdomyomas
http://www.emedicine.com/asp/image_search.asp?query=rhabdomyoma


The most common tumor of children is a rhabdomyoma. (Fig. 33) shows a
rhabdomyoma of the posterior left ventricular wall in a 14 year old.
Fig. 33 2-D parasternal left ventricular long-axis view showing a
rhabdomyoma within the posterior wall (arrowed)
http://www.echoincontext.com/int2/skillI2_fig33.html
Taken from:
http://www.echoincontext.com/int2/skillI2_09.asp


Rhabdomyoma (40X)
http://erl.pathology.iupui.edu/C604/GENE125.HTM


Rhabdomyoma, cardiac, Fig. 2
http://www.amershamhealth.com/medcyclopaedia/medical/volume%20V%202/RHABDOMYOMA%20CARDIAC.ASP


=======
Sarcoma
=======

Sarcoma of heart
Image Contrib. by: Hartford Hospital 
http://pathweb.uchc.edu/eAtlas/CV/386.htm
Large image
http://pathweb.uchc.edu/eAtlas/CV/386b.htm


Cardiac Sarcoma
http://www.amershamhealth.com/medcyclopaedia/Images/Volume%20V%202/thumbnails/SARCOMA_CARDIAC_FIG1_t.JPG


Cardiac Sarcoma, , Fig. 1
ECG gated spin-echo MR image demonstrates an extensive tumour
(angiosarcoma) which infiltrates along the wall of the right atrium
and extends outside the atrium into the pericardial sac. Note the
tumour (arrows) situated lateral to the epicardial fat of the right
ventricle.  http://www.amershamhealth.com/medcyclopaedia/Volume%20V%202/SARCOMA%20CARDIAC.asp


============
Angiosarcoma
============

This is an angiosarcoma arising in the epicardium in the groove
between the right atrium and right ventricle.
http://medlib.med.utah.edu/WebPath/COW/COW045.html
Image
http://medlib.med.utah.edu/WebPath/COW/COW045A.jpg


Cardiac tumors. Contrast-enhanced CT scan in a patient with angiosarcoma
http://www.emedicine.com/asp/image_search.asp?query=angiosarcoma&offset=-1


The cardiac Angiosarcoma, is   most common primary malignant tumour of
the heart. The most frequent site is the right atrium but any chamber
can be the site of origin.
Angiosarcoma, cardiac, Fig. 1
ECG-gated spin-echo coronal image shows a mass in the right atrium
penetrating the right atrial wall.
http://www.amershamhealth.com/medcyclopaedia/Volume%20V%202/angiosarcoma%20cardiac.asp


============================
Metastatic melanoma to heart
============================

Heart, metastatic melanoma
http://www.med.uiuc.edu/pathatlasf/Atlas34.html
Large image
http://www.med.uiuc.edu/pathatlasf/WWW_images/V3077.html


Three images in the following publication titled ?Metastases of a
malignant melanoma in the heart.?
http://www.hcs.gr/periodiko/pdf/Supplement%2041/A1-A3.pdf

Metastatic Malignant Melanoma
http://www.healthsystem.virginia.edu/internet/pathology/CaseStudies/Heme/k98_2.cfm


=============================
Metastatic carcinoma to heart
=============================

Primary tumors of the heart are uncommon. Metastases to the heart are
more common, but rare overall (only about 5 to 10% of all malignancies
have cardiac metastases). Seen over the surface of the epicardium are
pale white-tan nodules of metastatic tumor. Metastases may lead to a
hemorrhagic pericarditis.
http://medlib.med.utah.edu/WebPath/jpeg5/CV077.jpg
Taken from
http://medlib.med.utah.edu/WebPath/CVHTML/CV077.html


Cardiac Metastatic Tumour
Fig. 2
http://www.amershamhealth.com/medcyclopaedia/medical/volume%20V%202/METASTATIC%20TUMOUR%20CARDIAC.ASP


Medical Illustration showing 3 types of cardiac metastasis. 

1. Direct extension by an adjacent tumor such as lung, breast, or
esophageal cancer.
2. Venous (intravascular) extension in tumors such as renal cell
carcinoma and hepatoma.
3. Hematogenous spread in melanoma, (usually affecting myocardium,
although valvular or intracavitary involvement can rarely occur),
sarcoma, and lymphoma.
http://www.ctisus.org/gallery/heart_metastasis.html
http://www.ctisus.org/gallery/images/vascular/heart_tumors/heart_metastasis.jpg
Taken from :
http://www.ctisus.org/gallery/vascular_heart_tumors.html



=======================================================



Additional images are provided in the publication: Primary Tumors of the Heart
http://www.fac.org.ar/scvc/llave/cardio-l/breglia/bregliai.htm

Figure 1 shows a soft surface, whitish and friable polypoid formation
of 9 x 5.5 x 3 cm, in a 38-year-old man with left atrial myxoma
presenting mitral valve obstructive symptoms and signs. A cut section
showed hemorrhage and other areas of mucoid appearance.
http://www.fac.org.ar/scvc/llave/cardio-l/breglia/bregliai.htm#fig1

In Figure 10, a four-cavity apical window echocardiography,
corresponding to a rhabdomyoma, shows a multiple echogenic mass
closely associated to the right ventricle.
http://www.fac.org.ar/scvc/llave/cardio-l/breglia/bregliai.htm#fig10

In Figure 11, four-cavity apical window echocardiographic view shows
multiple echogenic masses of rhabdomyomas in a neonate in the left
ventricular myocardium that projects into the ventricular cavity.
http://www.fac.org.ar/scvc/llave/cardio-l/breglia/bregliai.htm#fig11

Figure 13 shows an angiosarcoma
http://www.fac.org.ar/scvc/llave/cardio-l/breglia/bregliai.htm#fig13



=======================================================



In addition, the article ?Cardiac Tumors? at eMedicine (free
registration) provides a large number of images of cardiactumors.
http://www.emedicine.com/radio/topic66.htm

Myxoma (see Images 1-13)
http://www.emedicine.com/radio/topic66.htm#target1

Fibroma, lipoma (see Image 14)
http://www.emedicine.com/radio/topic66.htm#target14

Rrhabdomyoma, plasma cell granuloma, sarcoma, lymphoma (see Image 15)
http://www.emedicine.com/radio/topic66.htm#target15

Thymoma, hemangiopericytoma (see Images 16-19)
http://www.emedicine.com/radio/topic66.htm#target16

Fibroelastoma (see Images 20-21)
http://www.emedicine.com/radio/topic66.htm#target20

Primary cardiac sarcomas encompass a broad spectrum of tumors that
includes angiosarcoma (see Image 22)
http://www.emedicine.com/radio/topic66.htm#target22

Osteosarcoma, fibrosarcoma, malignant fibrous histiocytoma,
leiomyosarcoma (see Images 23-24)
http://www.emedicine.com/radio/topic66.htm#target23

Metastatic cardiac tumors are frequently bronchogenic carcinomas (see
Images 25-26),
http://www.emedicine.com/radio/topic66.htm#target25



=======================================================


Additional resources:

The online encyclopedia of medical images provides a wealth of
photographs for a fee.
http://images.md/users/index.asp?flag=
Advanced search
http://images.md/users/explore.asp
Cardiovascular Pathology 
http://images.md/users/explore.asp
To subscribe to the Cardiovascular Pathology collection for an annual
price of US $99, click here.
https://images.md/users/subs_login.asp?collection=ACVPC01



=======================================================


Search strategy:

Myxoma image OR photo OR photograph
://www.google.com/search?sourceid=navclient&ie=UTF-8&q=Myxoma+image+OR+photo+OR+photograph

Papillary fibroelastoma image OR photo OR photograph
://www.google.com/search?sourceid=navclient&ie=UTF-8&q=Papillary+fibroelastoma+image+OR+photo+OR+photograph

Rhabdomyoma image OR photo OR photograph
://www.google.com/search?sourceid=navclient&ie=UTF-8&q=Rhabdomyoma+image+OR+photo+OR+photograph

Sarcoma image OR photo OR photograph heart OR cardiac
://www.google.com/search?hl=en&c2coff=1&q=Sarcoma+image+OR+photo+OR+photograph+heart+OR+cardiac&spell=1

Metastatic carcinoma image OR photo OR photograph heart OR cardiac
://www.google.com/search?sourceid=navclient&ie=UTF-8&q=Metastatic+carcinoma+image+OR+photo+OR+photograph+heart+OR+cardiac


Metastatic melanoma image OR photo OR photograph heart OR cardiac
://www.google.com/search?sourceid=navclient&ie=UTF-8&q=Metastatic+melanoma+image+OR+photo+OR+photograph+heart+OR+cardiac

Angiosarcoma image OR photo OR photograph
://www.google.com/search?sourceid=navclient&ie=UTF-8&q=Angiosarcoma+image+OR+photo+OR+photograph

Cardiovascular Pathology
://www.google.com/search?sourceid=navclient&ie=UTF-8&q=Cardiovascular+Pathology

Cardiac tumors
://www.google.com/search?sourceid=navclient&ie=UTF-8&q=Cardiac+tumors


I hope this is helpful!

Best regards,
Bobbie7
mike1955-ga rated this answer:5 out of 5 stars and gave an additional tip of: $10.00
Excellent!
Many thanks.

Comments  
Subject: Re: cardiac tumors
From: bobbie7-ga on 06 Nov 2004 12:30 PST
 
Thank you very much for the five stars and tip!
--Bobbie7

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