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2003, Number 3

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Cir Cir 2003; 71 (3)

Tumors of the heart 16 years experience in Hospital de Cardiología, del Centro Médico Nacional Siglo XXI in Mexico City

Alfaro-Gómez F, Careaga-Reyna G, Valero-Elizondo G, Argüero-Sánchez R

Language: Spanish
References: 40
Page: 179-185
PDF size: 98.20 Kb.


ABSTRACT

Introduction: We present incidence of primary cardiac tumors diagnosed from 1987 at the Hospital de Cardiología, Centro Médico Nacional Siglo XXI, in Mexico City. Objective: We described primary cardiac tumors based on histopathologic diagnosis, frequency, localization, implantation, implantation site, and recurrence. Material and methods: A total of 51 patient files were selected retrospectively. Patients underwent cardiothoracic surgery with primary cardiac tumor established by clinical and echocardiographic parameters with histopathologic corroboration between 1987 and 2002. Statistical analysi of obtained results show frequency, central tendency and standard deviation. Results: Primary cardiac tumors were benign in 84% and malignant in 16%. Among benign tumors, myxoma was present in 74%, (38 cases) followed by papillary fibroelastoma in 6% (three cases); finally, there were two cases (4%) of fibroma. Malignant tumors belonged to two hemangioendothelioma cases (4%) and there were 6 cases of sarcoma (12%). Main affected gender was female in 61%. All cases were taken to surgical resection. There was recurrence four times (8%) belonging to three myxomas and one sarcoma. Average presentation age was 43 ± 17 years. Cardiac primary tumors represent 0.16% of surgeries taking place at our service. Concordance was found with previous studies regarding frequency, gender, age, localization, and implant site of cardiac primary tumors with greater recurrence in our series.


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