Academic Journal
Tumor cardíaco em criança assintomática: um diagnóstico acidental
| العنوان: | Tumor cardíaco em criança assintomática: um diagnóstico acidental |
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| المؤلفون: | Carolina Cordinhã, Ângela Pereira, Patrícia Vaz Silva, Teresa Dionísio, Paula Martins, Graça Sousa, Isabel Santos, António Pires, Lúcia Ribeiro, Eduardo Castela |
| المصدر: | Revista Portuguesa de Cardiologia, Vol 30, Iss 10, Pp 795-797 (2011) |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2011 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Resumo: Os tumores cardíacos são uma entidade rara em idades pediátricas, com uma incidência variável entre 0,001% e 0,003%. Sendo habitualmente benignos, os rabdomiomas e os fibromas são os tipos histológicos mais frequentes. A clínica é inespecífica e dependente das dimensões e localização do tumor.Descreve-se o caso de uma criança de quatro anos previamente saudável e assintomática, observada em contexto de infecção respiratória, tendo-se identificado cardiomegália na teleradiografia torácica. A ecocardiografia transtorácica revelou uma massa volumosa e heterogénea no ventrículo esquerdo, sem causar obstrução da câmara de saída ou disfunção valvular. A ressonância magnética foi sugestiva de fibroma. Procedeu-se a terapêutica cirúrgica, com excisão completa que confirmou fibroma mantendo-se assintomática. Abstract: Cardiac tumors in the pediatric population are rare, their incidence range between 0.001% and 0.003%. They are mostly benign, rhabdomyomas the most common type, followed by fibromas. The clinical features are being usually nonspecific and depend on the size and location of the tumor within the heart.We report the case of a previously healthy four-year-old boy referred for flu-like symptoms. A respiratory infection was suspected and a chest X-ray showed an increased cardiothoracic index. An echocardiogram revealed a single large heterogeneous mass in the left ventricle emerging from the lateral wall. Despite its size, the mass did not obstruct the left ventricular outflow tract or affect mitral valve function. Cardiac magnetic resonance imaging showed a large mass whose imaging features were suggestive of a fibroma. He became symptomatic during follow-up and was referred for surgical excision of the mass. Histological study confirmed a fibroma. At present the patient remains asymptomatic. Palavras-chave: Tumores cardíacos, Pediatria, Ressonância magnética cardíaca, Fibroma, Keywords: Cardiac tumors, Pediatric, Cardiac magnetic resonance imaging, Fibroma |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English Portuguese |
| تدمد: | 0870-2551 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S0870255111700282; https://doaj.org/toc/0870-2551; https://doaj.org/article/884f81aa94364daeae6a46644a6811f2 |
| DOI: | 10.1016/S0870-2551(11)70028-2 |
| الاتاحة: | https://doi.org/10.1016/S0870-2551(11)70028-2 https://doaj.org/article/884f81aa94364daeae6a46644a6811f2 |
| رقم الانضمام: | edsbas.3E5D254C |
| قاعدة البيانات: | BASE |
| تدمد: | 08702551 |
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| DOI: | 10.1016/S0870-2551(11)70028-2 |