CARDIAC Section 9: Tumors

Question 1

What is the mosto common tumor in the heart?

Answer 1

Mets (30x than primary)

Question 2

What is the most common site of metastasis and manifestation?

Answer 2

Pericardium - Pericardial lymph node

Question 3

Second most common cardiac manifestation of metastasis

Answer 3

Pericardial lymph node

Question 4

What is the most common metastasis to the heart?

Answer 4

Lung CA

Question 5

What disease has the higest percentage of cases that mets to the heart?

Answer 5

Melanoma

Question 6

Most common primary MALIGNANT tumor of the heart in ADULTS

Answer 6

Angiosarcoma:

Question 7

Common Site of Angiosarcoma

Answer 7

Right Atrium and tend to involve the pericadiuma

Question 8

Common manifestation of Angiosarcoma

Answer 8

Right sided failure and/or tamponade

Question 9

Buzzword: “Sun-ray” appearance

Describe:

Answer 9

Angiosarcoma

enhancement appearance of the diffuse subtype as it grows along the perivascular spaces associated with the epicardial vessels.

Question 10

Most common primary cardiac tumor in adults (rare in children).

Answer 10

Left Atrial Myxoma

Question 11

DIagnosis

Answer 11

Left Atrial Myxoma

Question 12

What diseases are associated with Left Atrial Myxoma

Answer 12

Multiple endocrine neoplasia (MEN) Syndromes
Blue Nevi (Carney Complex)

Question 13

Where do Left atrial myxoma commonly attach?

Answer 13

Interatrial septum

Question 14

Imaging features of Left atrial Myxoma

Answer 14

MAy calcify
May prolapse throught the mitral valve
Enhance with Gd (Important discriminator from a thrombus)

Question 15

Most common fetal cardiac tumor.

Answer 15

Rhabdomyoma

Question 16

Site of Rhabdomyoma

Answer 16

Left ventricle

Question 17

Disease associated with Rhabdomyoma

Answer 17

Tuberus Sclerosis

Question 18

2nd most common cardiac tumore in childhood

Answer 18

Fibroma

Question 19

Site of Cardiac Fibroma

Answer 19

IV septum

Question 20

MRI features of Cardiac Fibroma

Answer 20

T1/T2 - Dark
With enhancement on late Gd

Question 21

Most common neoplasm to involve the cardiac valves

Answer 21

Fibroelastoma

Question 22

Common site of Fibroelasotma

Answer 22

80% aortic or mitral

Question 23

Other features of Fibroelastoma

Answer 23

highly mobile on SSFP Cine
Systemic emboli are common (if they are on the left side)

Question 24

Most common intra-cardiac mass

Answer 24

Thrombus

Question 25

Descrone the atial myxoma

Answer 25

“Ball with stalk attached to the inter- atrial septum ”

Question 26

What features does Fibroelastoma have vs vegetations?

Answer 26

Vegetations tend to involve the valve free edges. Fibroelastoma does NOT do that.

Question 27

MRI features: Fibroma vs Rhabdomyoma

Answer 27

Fibroma is T2 dark Rhabdomyoma is T2 Bright