3
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Percutaneous ultrasound-guided core needle biopsy for the diagnosis of cardiac tumors: Optimizing the treatment strategy for patients with intermural and pericardial cardiac tumors

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          The aims of this study are to investigate the clinical value and practical safety of ultrasound-guided percutaneous core needle biopsy on diagnosing cardiac tumor and to discuss the treatment strategy for cardiac intermural and pericardial tumors.

          Methods

          The clinical data were retrospectively collected for patients with intermural and pericardial cardiac tumors. The patients were divided into groups of surgical resection, surgical resection after obtaining pathological tissue by PUS-CNB, and/or radiotherapy according to the treatment modality. Ultrasound-guided aspiration biopsy was divided into cardiac tumor biopsy and extracardiac lesion biopsy according to patient conditions. The surgical time was recorded, and the safety and clinical application value of PUS-CNB for the diagnosis of cardiac tumors were evaluated in terms of complications and satisfaction with pathological sampling.

          Results

          A total of 18 patient cases were collected, and PUS-CNB of cardiac tumors was performed in 8 cases, with sampling times averaging 15.6 ± 3.0 min. Four cases of cardiac tumors combined with extracardiac tumors were biopsied, with puncture times averaging 13.0 ± 2.9 min. All 12 biopsied patients had no postoperative complications. Except for 1 failed biopsy, the biopsies were successful and the pathological results were consistent with the clinical diagnosis with a satisfaction rate of 91.7%. Except for two cases of surgical resection, the rest were considered for conservative treatment. Surgical resection and/or biopsy were performed in six cases, and two cases were aggravated after surgery. The final pathology of all 17 cardiac tumors was malignant.

          Conclusion

          PUS-CNB is safe and effective, providing a simple and undemanding method for accurate diagnosis of cardiac intermural and pericardial tumors while avoiding unnecessary open-heart surgery.

          Related collections

          Most cited references31

          • Record: found
          • Abstract: not found
          • Article: not found

          Introduction to The 2015 World Health Organization Classification of Tumors of the Lung, Pleura, Thymus, and Heart.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Cardiac Tumors : JACC CardioOncology State-of-the-Art Review

            Cardiac masses are rare, but remain an important component of cardio-oncology practice. These include benign tumors, malignant tumors (primary and secondary) and tumor-like conditions (e.g., thrombus, Lambl’s excrescences, and pericardial cyst). The advent of multimodality imaging has enabled identification of the etiology of cardiac masses in many cases, especially in conjunction with information from clinical settings. This paper provides a comprehensive review of the epidemiology, clinical presentation, imaging, diagnosis, management, and outcomes of cardiac masses. • Cardiac tumors are rare and should be considered as part of the differential diagnosis of any space-occupying mass noted on cardiovascular and/or thoracic imaging modalities. • It may be possible to get close to a diagnosis without biopsy using a structured imaging approach. • The prognosis and treatment of each tumor is different, although early diagnosis is usually associated with a better outcome.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Primary cardiac and pericardial neoplasms: radiologic-pathologic correlation.

              Primary cardiac and pericardial neoplasms are rare lesions and include both benign and malignant histologic types. Myxoma is the most frequent primary cardiac neoplasm, but other benign tumors include papillary fibroelastoma, rhabdomyoma, fibroma, hemangioma, lipoma, and paraganglioma. Cardiac sarcoma represents the second most common primary cardiac neoplasm. Lymphoma can also affect the heart primarily. Pericardial tumors that affect the heart include benign teratomas and malignant mesotheliomas. Patients affected with cardiac or pericardial neoplasms often present with cardiovascular compromise or embolic phenomena and exhibit cardiomegaly at chest radiography. Benign cardiac tumors typically manifest as intracavitary, mural, or epicardial focal masses, whereas malignant tumors demonstrate invasive features and may involve the heart diffusely. Benign lesions can usually be successfully excised, but patients with malignant lesions have an extremely poor prognosis.
                Bookmark

                Author and article information

                Contributors
                Journal
                Front Oncol
                Front Oncol
                Front. Oncol.
                Frontiers in Oncology
                Frontiers Media S.A.
                2234-943X
                05 August 2022
                2022
                : 12
                : 931081
                Affiliations
                [1] 1 Department of Hematology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University , Fuzhou, China
                [2] 2 Department of Ultrasonography, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University , Fuzhou, China
                [3] 3 Department of Ultrasonography, Affiliated Fuzhou First Hospital of Fujian Medical University, Shengli Clinical Medical College of Fujian Medical University , Fuzhou, China
                Author notes

                Edited by: Avirup Guha, Augusta University, United States

                Reviewed by: Ankita Aggarwal, Ascension Providence Hospital, United States; Daniel Chen, University College London, United Kingdom; Juliet Yirerong, Augusta University, United States

                *Correspondence: Song-song Wu, fjslwss@ 123456163.com

                †These authors have contributed equally to this work and share first authorship

                This article was submitted to Cardio-Oncology, a section of the journal Frontiers in Oncology

                Article
                10.3389/fonc.2022.931081
                9389083
                35992842
                3d8fe538-965b-4854-9639-02097e2bc75a
                Copyright © 2022 Xie, Hong, Zhao, Chen, Lin and Wu

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author (s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 28 April 2022
                : 06 July 2022
                Page count
                Figures: 5, Tables: 4, Equations: 0, References: 31, Pages: 10, Words: 4553
                Funding
                Funded by: Natural Science Foundation of Fujian Province , doi 10.13039/501100003392;
                Categories
                Oncology
                Original Research

                Oncology & Radiotherapy
                ultrasonography,cardiac tumors,pericardial tumors,percutaneous ultrasound guidance,puncture

                Comments

                Comment on this article