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Clinical and imaging manifestations of primary cardiac angiosarcoma

Jin-Fen Yu1, Hui Cui2, Guo-Min Ji3

  • 1Magnetic Resonance Room, Ji Nan Zhang Qiu District hospital of TCM, Shan Dong, 250200, China.

BMC Medical Imaging
|February 16, 2019
PubMed

Insights

Primary cardiac angiosarcoma typically affects the right atrium and can invade nearby structures. CT imaging reveals characteristic enhancement patterns and potential lung metastases.

Area of Science:

  • Radiology
  • Oncology
  • Cardiovascular Imaging

Background:

  • Primary cardiac angiosarcoma is a rare malignancy.
  • Understanding its CT imaging features is crucial for diagnosis.

Purpose of the Study:

  • To investigate the computed tomography (CT) manifestations of primary cardiac angiosarcoma.
  • To correlate CT findings with clinical presentation and outcomes.

Main Methods:

  • Retrospective analysis of clinical and CT data from 9 patients with cardiac angiosarcoma.
  • Review of CT plain scans and enhanced CT scans, including dynamic cine imaging.

Main Results:

  • All lesions were located in the right atrium, with some extending to the tricuspid valve and right ventricle.
  • CT showed homogeneous or inhomogeneous density, with heterogeneous centripetal enhancement in most cases.
  • Five patients had lung metastases, often with distinct sharp edges.

Conclusions:

  • Cardiac angiosarcoma has a predilection for the right atrium and invades adjacent structures.
  • CT findings include specific enhancement patterns and malignant effusions.
  • Pulmonary metastases often present with ground-glass opacity.
Abstract

Keywords:
AngiosarcomaComputed tomographyHeart

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