Diagnostic Dilemma of Intracardiac Mass: Tumor versus Thrombus-Case Series and Systematic Review  

作　　者：Indira Acharya Ashik Pokharel Raktim Ghosh Christopher J. Haas Indira Acharya;Ashik Pokharel;Raktim Ghosh;Christopher J. Haas(Department of Internal Medicine, Internal Medicine Residency Program, Medstar Health, Baltimore, MD, USA;Department of Cardiology, MedStar Union Memorial Hospital, MedStar Health, Baltimore, MD, USA;School of Medicine, Georgetown University, Washington, D.C., USA)

机构地区：[1]Department of Internal Medicine, Internal Medicine Residency Program, Medstar Health, Baltimore, MD, USA [2]Department of Cardiology, MedStar Union Memorial Hospital, MedStar Health, Baltimore, MD, USA [3]School of Medicine, Georgetown University, Washington, D.C., USA

出　　处：《Journal of Biosciences and Medicines》2024年第7期141-150,共10页生物科学与医学（英文）

摘　　要：Background: The differential diagnosis for intracavitary cardiac masses is limited, typically including vegetations, tumors, or thrombi. Cardiac thrombi can often mimic cardiac tumors on imaging, creating a diagnostic challenge. Primary cardiac tumors are rare and usually benign, whereas most cardiac tumors result from metastases, commonly originating from malignancies in the breast, lung, or melanoma. Aim: This report highlights the importance of distinguishing various cardiac masses based on clinical presentations, clinical courses, and radiological features. Case Presentation: We describe two cases of cardiac masses with unique and diverse clinical features. Each case posed significant diagnostic challenges due to their distinct presentations and clinical progressions. Conclusion: These cases underscore the importance of considering both benign and metastatic origins in the differential diagnosis of intracavitary cardiac masses. Accurate differentiation between thrombi and tumors is crucial for appropriate management and treatment.Background: The differential diagnosis for intracavitary cardiac masses is limited, typically including vegetations, tumors, or thrombi. Cardiac thrombi can often mimic cardiac tumors on imaging, creating a diagnostic challenge. Primary cardiac tumors are rare and usually benign, whereas most cardiac tumors result from metastases, commonly originating from malignancies in the breast, lung, or melanoma. Aim: This report highlights the importance of distinguishing various cardiac masses based on clinical presentations, clinical courses, and radiological features. Case Presentation: We describe two cases of cardiac masses with unique and diverse clinical features. Each case posed significant diagnostic challenges due to their distinct presentations and clinical progressions. Conclusion: These cases underscore the importance of considering both benign and metastatic origins in the differential diagnosis of intracavitary cardiac masses. Accurate differentiation between thrombi and tumors is crucial for appropriate management and treatment.

关 键 词：ECHOCARDIOGRAPHY Cardiac Masses ARRHYTHMIAS Cardiac Magnetic Resonance Imaging Cardiac Thrombi 

分 类 号：R73[医药卫生—肿瘤]