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Surgical Management of Cardiac Neoplasms

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Part of the book series: Current Clinical Pathology ((CCPATH))

Abstract

Primary cardiac tumors are rare forms of heart disease reported in both adult and children. Prior to the advent of modern cardiac surgery, the correct antemortem diagnosis of an intracardiac tumor was largely academic. More recently, major advances in noninvasive cardiovascular diagnostic techniques and cardiac surgery have greatly facilitated the approach to cardiac neoplasm. Cardiac tumors may display several clinical and diagnostic findings, although histological confirmation is always necessary. Currently, operative excision is the treatment of choice for most benign cardiac tumors, very often resulting in a complete cure. On the other hand, malignant cardiac tumors continue to pose a therapeutic challenge to cardiac surgeons and oncologists because of the technical difficulty involved in extensive cardiac resections and the aggressive biological nature of the tumors. Metastatic cardiac tumors are far more frequent than primary tumors of the heart and may originate from blood dissemination via coronary arteries or lymphatic channels of cancer cells, direct extension via adjacent tissues, or propagation via the superior or the subdiaphragmatic vena cava to the right atrium.

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Santini, F., Telesca, M., Faggian, G., Mazzucco, A. (2013). Surgical Management of Cardiac Neoplasms. In: Basso, C., Valente, M., Thiene, G. (eds) Cardiac Tumor Pathology. Current Clinical Pathology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-143-1_10

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