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Macau Periodical Index (澳門期刊論文索引)
- Author
- Yu, Kun; Liu, Yinglong; Wang, Hongyue; Hu, Shengshou; Long, Cun
- Title
- Epidemiological and pathological analysis of 242 cases of cardiac tumors that underwent surgical treatment
- Journal Name
- 澳門醫學雜誌
- Pub. Info
- 2007年12月20日, Vol.7, No.4, pp. 237-242
- Link
- https://www.ssm.gov.mo/docs//2211/2211_3114b95f078741339a3d72374887502d_000.pdf
- Keyword
- Cardiac tumor；Myxomas；Surgery；Epidemiology；Pathology
- Abstract
- Objective: To investigate the epidemiological and pathological features of cardiac tumors in the population who underwent cardiac operation. Methods: We conduct a retrospective survey of all patients who underwent cardiac operation at our institution from Oct 1996 to March 2005. Results: Of 33108 consecutive cases of cardiac operation patients, there were 251 cases identified as cardiac tumors that accepted surgical treatment, and among them, 242 cases were confirmed as cardiac tumors by pathologic diagnosis after operation. Among them, 234 patients were diagnosed with primary heart tumors, revealing a prevalence of 0.71% among the corresponding period cardiac operations. Of primary cardiac tumors, the incidence of benign neoplasm was much higher than malignant masses (90.6% vs 9.4%, P<0.01). The most common benign cardiac tumor was myxoma, 186 of 214 benign tumors (86.9%) were myxoma. Mesenchymoma and angiosarcoma were the most common primary malignant cardiac tumors. The prevalence rates of cardiac tumors were quite different among age groups with the highest (30%) in age group 40-49 years old, followed by (26.8%) in age group 50-59 years old, and the myxoma was the most common in the age group 50-59. Rhabdomyoma and fibroma are prone to children. The number of female patients with myxoma was higher than that in male (P<0.01). Myxomas have a special predilection for the left atrium. Benign non-myxoma tumors are more likely to occur in the ventricular area. The primary malignant tumors have a tendency to have a multi-center localization. All the secondary cardiac tumors are located in the right side of the heart. Conclusions: The benign neoplasm was much more common than the malignant masses among the patients who underwent cardiac surgical treatment. Myxoma is the most common benign cardiac tumor with a propensity to occur in female patients. Most primary cardiac tumors occurred in children and young people and they are benign neoplasm. The growth characters and the location of cardiac tumors observed in our study were related to histological types. Paragraph Headings: 1. Introduction 2. Methods 3. Statisctical Analysis 4. Results 4.1. Incidence 4.2. Age and sex distribution 4.3. Pathology 5. Discussion Tables: 1. The Age Distribution of the Patients with Cardiac Tumors 2. The Histology and Location of Cardiac Tumors