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Twenty years experience in oncologic surgery for primary cardiac tumors Dell'amore A; Albertini A; Lamarra MG Chir 2013[Apr]; 34 (4): 106-11INTRODUCTION: Primary cardiac tumors are uncommon in cardiac surgery. To investigate the clinical presentation, surgical results and long-term follow-up we retrospectively analyzed our experience in the treatment of primary cardiac tumors. PATIENTS AND METHODS: Ninety-one patients with primary cardiac tumors underwent surgery in our department in the last 20 years. Fifty-one patients were female, the mean age was 62,2 years. Sixty-three had myxomas, 22 had papillary fibroelastoma, 4 had malignant neoformations and 2 had other benign tumors. RESULTS: All myxomas, fibroelastomas and angiomyolipoma were radically removed. Only a palliative treatment was possible in malignant disease. In-hospital mortality was 1.2%. The mean follow-up time was 78.5 months. Three patients had recurrence of myxoma, all patients with malignant disease dead during the follow-up. DISCUSSION: Primary benign cardiac tumors can be treated with low morbidity and mortality. The follow-up demonstrates that radical surgery is curative in case of benign tumors. The prognosis of malignant tumors is still poor. Palliative procedures have small impact on survival in these patients.|*Cardiac Surgical Procedures/methods[MESH]|Adult[MESH]|Aged[MESH]|Aged, 80 and over[MESH]|Angiomyolipoma/mortality/pathology/*surgery[MESH]|Female[MESH]|Fibroma/mortality/pathology/*surgery[MESH]|Follow-Up Studies[MESH]|Heart Neoplasms/mortality/pathology/*surgery[MESH]|Hospital Mortality[MESH]|Humans[MESH]|Italy/epidemiology[MESH]|Male[MESH]|Middle Aged[MESH]|Myxoma/mortality/pathology/*surgery[MESH]|Neoplasm Recurrence, Local/mortality/pathology/*surgery[MESH]|Palliative Care[MESH]|Papillary Muscles/*surgery[MESH]|Prognosis[MESH]|Retrospective Studies[MESH]|Treatment Outcome[MESH] |
