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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Cardiac tumors chest x ray

Introduction

Overview

Overview

Chest X-Rays do not have a diagnostic value until late in disease or presence of features like heart failure. They are usually done as a part of preliminary investigations.

Chest X-ray

Chest X-ray

  • ECG and X-ray yield no crucial diagnostic information. Echocardiography is the main initial diagnostic tool.[1]
  • Usually tumors are not visualized on Chest X-Rays until they are large enough to cause obstructive symptoms.[1]
  • However, an x-ray may be helpful in the diagnosis of certain complications of ,cardiac tumors which include heart failure, pulmonary hypertension, and pericardial effusion.
    • Some tumors and their chest X-ray findings are:
Chest X-Ray Findings of Cardiac tumors
Tumor Findings
Myxoma Approximately one-third of patients have clear chest X-Ray. Cardiomegaly is observed in 37 percent and 50 percent of left and right atrial myxomas, respectively.[2]
Papillary Fibroelastoma If the tumor obstructs the mitral valve, and CXRs may indicate an accompanying dilatation of heart chambers and symptoms of pulmonary hypertension and congestion.[3]
Cardiac Fibroma CXR may demonstrate cardiomegaly with or without a distinct protrusion, and in 15% of instances, calcification is apparent.
Pericardial Teratoma CXR shows massive pericardial effusion.[4]
Hemangioma CXR demonstrates massive pericardial effusion leading to tamponade.[4]
Rhabdomyosarcoma Chest X-Ray findings of congestive heart failure.[4]
Fibrosarcoma Mediastinal mass and pericardial effusion.[4]
Angiosarcoma Pericardial effusion on CXR
References

References

  1. ↑ 1.0 1.1 Schmaltz AA, Apitz J (1981). “Primary heart tumors in infancy and childhood. Report of four cases and review of literature”. Cardiology. 67 (1): 12–22. doi:10.1159/000173224. PMID 7459905.
  2. ↑ Cina SJ, Smialek JE, Burke AP, Virmani R, Hutchins GM (1996). “Primary cardiac tumors causing sudden death: a review of the literature”. Am J Forensic Med Pathol. 17 (4): 271–81. doi:10.1097/00000433-199612000-00001. PMID 8947350.
  3. ↑ Gowda RM, Khan IA, Nair CK, Mehta NJ, Vasavada BC, Sacchi TJ (2003). “Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases”. Am Heart J. 146 (3): 404–10. doi:10.1016/S0002-8703(03)00249-7. PMID 12947356.
  4. ↑ 4.0 4.1 4.2 4.3 Isaacs H (2004). “Fetal and neonatal cardiac tumors”. Pediatr Cardiol. 25 (3): 252–73. doi:10.1007/s00246-003-0590-4. PMID 15360117.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dheeraj Makkar, M.D.[2]