Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports
Authors: Antoine El Khoury, Samer Nasr, Lynn Darwich, Leen Othman, Elissa Mahfouz, Kassem Farhat, Abbas Jomaa, Georges Tedy
Background: Primary cardiac tumors originating in the heart are much less frequent than metastasis from other organs. The majority of cardiac tumors are of benign nature and only 25% are estimated to be malignant. Common symptoms of cardiac tumors include systemic embolization, congestive heart failure, and arrhythmias. Case report: We present two cases of cardiac tumors initially causing heart failure symptoms and valvular disease in relatively young patients. These tumors were initially diagnosed as myxomas, but post-op histological studies revealed the presence of angiosarcoma and hamartoma. It is important to differentiate and have a clear diagnosis because some malignant and invading tumors may require the use of adjuvant chemotherapy agents. Conclusion: It should not be taken for granted that cardiac tumors are of benign nature even if initial evaluation is consistent with myxomas. Early resection and pathological study of primary cardiac tumors are important in identifying the tumor type and targeting management.
Keywords: Cardiac tumors, myxoma, Cardiac angiosarcoma, Cardiac hamartoma, case reports
Authors
Correspondence to:
Leen Othman, Department of Medicine, Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon leenmothman@gmail.com
Publication history:
Received 09 Jan 2022
Revised 23 Apr 2022
Accepted 16 May 2022
Published online 06 Jun 2022
Published in print 12 Aug 2022
Khoury AE, Nasr S, Darwich L, Othman L, Mahfouz E, Farhat K, Jomaa A, Tedy G. Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports. EJMCR. 2022; 6(4): 68-72. doi:
10.24911/ejmcr/173-1641752848
Khoury AE, Nasr S, Darwich L, Othman L, Mahfouz E, Farhat K, Jomaa A, Tedy G. Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports. https://www.ejmcr.com/?mno=141124 [Access: May 13, 2024]. doi:
10.24911/ejmcr/173-1641752848
Khoury AE, Nasr S, Darwich L, Othman L, Mahfouz E, Farhat K, Jomaa A, Tedy G. Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports. EJMCR. 2022; 6(4): 68-72. doi:
10.24911/ejmcr/173-1641752848
Khoury AE, Nasr S, Darwich L, Othman L, Mahfouz E, Farhat K, Jomaa A, Tedy G. Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports. EJMCR. (2022), [cited May 13, 2024]; 6(4): 68-72. doi:
10.24911/ejmcr/173-1641752848
Khoury, A. E., Nasr, . S., Darwich, . L., Othman, . L., Mahfouz, . E., Farhat, . K., Jomaa, . A. & Tedy, . G. (2022) Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports. EJMCR, 6 (4), 68-72. doi:
10.24911/ejmcr/173-1641752848
Khoury, Antoine El, Samer Nasr, Lynn Darwich, Leen Othman, Elissa Mahfouz, Kassem Farhat, Abbas Jomaa, and Georges Tedy. 2022. Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports. European Journal of Medical Case Reports, 6 (4), 68-72. doi:
10.24911/ejmcr/173-1641752848
Khoury, Antoine El, Samer Nasr, Lynn Darwich, Leen Othman, Elissa Mahfouz, Kassem Farhat, Abbas Jomaa, and Georges Tedy. "Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports." European Journal of Medical Case Reports 6 (2022), 68-72. doi:
10.24911/ejmcr/173-1641752848
Khoury, Antoine El, Samer Nasr, Lynn Darwich, Leen Othman, Elissa Mahfouz, Kassem Farhat, Abbas Jomaa, and Georges Tedy. "Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports." European Journal of Medical Case Reports 6.4 (2022), 68-72. Print. doi:
10.24911/ejmcr/173-1641752848
Khoury, A. E., Nasr, . S., Darwich, . L., Othman, . L., Mahfouz, . E., Farhat, . K., Jomaa, . A. & Tedy, . G. (2022) Not all cardiac tumors are myxomas and not all benign tumors are benign: two case reports. European Journal of Medical Case Reports, 6 (4), 68-72. doi:
10.24911/ejmcr/173-1641752848
