02.14b Tumors of the Heart

Question 1

Most metastatic cancers in the heart are

Answer 1

Sarcomas

Question 2

Local effects to the heart

Answer 2

Heart failure
Pulmonary hypertension
Dyspnea, orthopnea
Edema

Question 3

80% of embolic episodes will have _____

Answer 3

Cardiac source

Question 4

PE findings of cardiac tumors include murmurs mimicking ______, heart failure, systemic embolization

Answer 4

Mitral stenosis or insufficiency

Question 5

Excellent definition of posterior cardiac structures

Answer 5

High resolution CT scan/ Fast MRI

Question 6

Tx for benign tumor

Answer 6

Excision

Question 7

Tx for malignant tumors

Answer 7

Multimodality (ECR) therapy

Question 8

Benign, true neoplasm
Most common neoplasm among adults
Do not metastasize or invade but may embolize

Answer 8

Myxoma

Question 9

Polyploid projecting into atrial cavity
1-2 cm stalk attached to the atrial septum
Slow growing

Answer 9

Myxoma

Question 10

Two types of myxoma

Answer 10

Sporadic

Familial

Question 11

5th to 6th decade of life

Late onset

Answer 11

Sporadic

Question 12

Hereditary for familial myxoma

Answer 12

AD

Question 13

Best imaging technique for diagnosis of myxoma

Answer 13

2D echo

Question 14

Treatment of myxoma

Answer 14

Surgical excision

Question 15

Found in 4-12% of autopsies performed for neoplastic cancer

Multifocal involvement of the heart is common

Answer 15

Metastatic cardiac tumor