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Giant cardiac tumours in the newborn: an unusual image
J Kwiatkowska, S Ciemny1, D Kozłowski
1Department of Pediatric Cardiology and Congenital Heart Defects, Medical University of Gdansk, Poland, Gdańsk, Poland. s_e.b_a@gumed.edu.pl.
Insights
Pediatric heart rhabdomyomas, often linked to tuberous sclerosis complex (TSC), are rare tumors. This case highlights a rare infant presentation of giant rhabdomyomas in TSC.
Area of Science:
- Pediatric Cardiology
- Oncology
- Genetics
Background:
- Primary heart tumors in children are rare, accounting for 0.01%-0.04% of cases.
- Rhabdomyomas constitute about half of these primary heart tumors, with a high association (75-80%) with tuberous sclerosis complex (TSC).
- Tuberous sclerosis complex (TSC) is a genetic disorder characterized by hamartomas in multiple organs, including the brain, kidneys, skin, and heart.
Observation:
- Over two-thirds of newborns diagnosed with TSC present with cardiac rhabdomyomas.
- These cardiac tumors can range from asymptomatic to life-threatening, causing heart failure and arrhythmias.
- The case report details an infant experiencing giant rhabdomyoma tumors within the context of TSC.
Findings:
- The study focuses on a rare case of giant rhabdomyoma tumors in an infant with TSC.
- It underscores the significant cardiac manifestations that can arise from TSC in neonates.
- The findings emphasize the critical need for early diagnosis and management of cardiac rhabdomyomas in TSC patients.
Implications:
- Early detection of cardiac rhabdomyomas in infants with TSC is crucial for timely intervention.
- Understanding the link between TSC and cardiac rhabdomyomas can improve patient outcomes.
- This case report contributes to the literature on rare pediatric cardiac tumors and genetic disorders.
Abstract:
Primary heart tumours in the paediatric population are very rare and they range from 0.01% to 0.04%. Most are benign lesions of which about half are rhabdomyomas. Rhabdomyoma tumour diagnosis is associated with a 75-80% risk of tuberous sclerosis complex (TSC). TSC are characterised with numerous changes of hamartoma-type located in the brain, kidneys, skin and other organs including the heart. More than two-thirds of newborns with TSC present rhabdomyomas in the heart. These changes may be asymptomatic, but in some cases they may cause heart failure, arrhythmias and death. We present a case report of an infant with giant rhabdomyoma tumours in the course of TSC.
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