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The diagnosis, clinical course and follow-up of children with cardiac tumours - a single-centre experience Kohut J; Krzystolik-Ladzinska J; Szydlowski L; Smolenska-Petelenz J; Giec-Fuglewicz G; Pajak JKardiol Pol 2010[Mar]; 68 (3): 304-9BACKGROUND: Rhabdomyoma is the most frequent primary cardiac tumour in children (about 50% of all cardiac neoplasms in this population). Fibroma, myxoma, teratoma and haemangioma are less frequent. AIM: To investigate the clinical presentation, diagnosis and follow-up of children diagnosed with cardiac tumours in our department between 1993 and 2008. METHODS: In the 15-year review we found 9 cases of cardiac tumours, confirmed in echo scan in every case and pathomorphologically in 5 out of 9 cases. RESULTS: Cardiac tumours were found in six boys and three girls, usually in the neonatal period. Cardiac murmur was the most common clinical symptom (4 cases). Two children were symptom-free. Out of the remaining children, two had circulatory failure and one had arrhythmia. Five children were operated on: three cases of rhabdomyoma, one fibroma and one teratoma. In 3 children who did not undergo surgery, the most probable diagnosis was rhabdomyoma. The follow-up (possible in 8 out of 9 cases, mean 7 years) showed that six children developed regularly and in two cases neurological abnormalities appeared. CONCLUSIONS: In this series, primary cardiac tumours presented as murmurs or circulatory failure. Most children needed surgery. In most cases, pathomorphology revealed rhabdomyoma. Follow-up showed regular development in six out of nine cases.|Disease Progression[MESH]|Female[MESH]|Fibroma/*diagnosis/pathology/surgery[MESH]|Follow-Up Studies[MESH]|Heart Neoplasms/*diagnosis/pathology/surgery[MESH]|Humans[MESH]|Infant[MESH]|Male[MESH]|Rhabdomyoma/*diagnosis/pathology/surgery[MESH]|Teratoma/*diagnosis/pathology/surgery[MESH] |
