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[Surgical treatment of primary cardiac tumors]
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|June 1, 1995
Insights
This study analyzed 130 primary cardiac tumor cases, finding most were benign myxomas. Malignant tumors had higher early and late mortality rates.
Area of Science:
- Cardiology
- Oncology
- Thoracic Surgery
Background:
- Primary cardiac tumors are rare, with varying clinical presentations and outcomes.
- Understanding the epidemiology and characteristics of these tumors is crucial for patient management.
Purpose of the Study:
- To analyze the clinical characteristics, treatment, and outcomes of primary cardiac tumors.
- To identify risk factors for mortality in patients with cardiac neoplasms.
Main Methods:
- Retrospective review of 130 patients with primary cardiac tumors treated between January 1962 and November 1994.
- Data collected included patient demographics, tumor type, surgical intervention, and survival status.
Main Results:
- 123 (94.6%) tumors were benign, predominantly cardiac myxomas (91.1% of benign cases).
- 7 (5.4%) tumors were malignant.
- Early mortality (within 30 days) was observed in 5 benign and 1 malignant tumor patient.
- Late mortality occurred in 4 patients, 3 of whom had malignant disease.
Conclusions:
- Benign cardiac tumors, especially myxomas, are the most common primary cardiac neoplasms.
- Malignant cardiac tumors are associated with significantly higher mortality rates, both early and late post-operatively.
Abstract:
From Jan. 1962 to Nov. 1994, 130 patients with primary cardiac tumors were performed in Shanghai Chest Hospital. There were 48 male and 82 female patients ranging in age from 16 to 73 (average 43.8 years). 123 (94.6%) had benign and 7 (5.4%) were malignant tumor. Cardiac myoxmas accounted for 91.1% of all benign neoplasias. 5 patients with benign and 1 patient with malignant tumor died early (within 30 days of operation). Of the 4 patients who died late, 3 had had malignant disease.