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Inicio Radiología (English Edition) Imaging findings in cardiac masses (Part i): Study protocol and benign tumors
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Vol. 57. Issue 6.
Pages 480-488 (November - December 2015)
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Vol. 57. Issue 6.
Pages 480-488 (November - December 2015)
Radiology through images
Imaging findings in cardiac masses (Part i): Study protocol and benign tumors
Hallazgos de imagen de las masas cardíacas (parte i): protocolo de estudio y tumores benignos
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C. Díaz Angulo, C. Méndez Díaz, E. Rodríguez García, R. Soler Fernández
Corresponding author
rafaelasoler@telefonica.net

Corresponding author.
, A. Rois Siso, M. Marini Díaz
Servicio de Radiodiagnóstico, Complejo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Spain
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Table 1. Magnetic resonance (MR) protocol for the study of cardiac masses.
Table 2. More characteristic findings of benign cardiac tumors.
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Abstract

Cardiac masses represent a diagnostic challenge because decisions about treatment are based on imaging techniques. Echocardiography, magnetic resonance (MR) and computed tomography (CT) are fundamental for the detection, characterization, and staging of cardiac masses as well as for planning their treatment. Most primary cardiac tumors are benign; myxomas, papillary fibroelastomas, and lipomas are the most common. The location of the tumors and its characteristics on CT and MR orient the etiologic diagnosis in most cases.

This article describes the protocols for CT and MR studies of cardiac masses as well as the morphologic findings, predominant locations, and most useful characteristics for characterizing benign cardiac masses and establishing the differential diagnosis with malignant cardiac tumors and non-neoplastic pseudotumors.

Keywords:
Cardiac masses
Myxoma
Fibroelastoma
Lipoma
Rhabdomyoma
Resumen

Las masas cardíacas son un reto diagnóstico porque las decisiones terapéuticas se basan en los hallazgos de las técnicas de imagen. La ecocardiografía, la resonancia magnética (RM) y la tomografía computarizada (TC) son fundamentales para la detección, caracterización, estadificación y planificación del tratamiento. La mayoría de los tumores primarios son benignos; los más frecuentes son el mixoma, el fibroelastoma papilar y el lipoma. La localización del tumor y sus características en la TC y la RM orientan el diagnóstico etiológico en la mayor parte de los casos.

Se describen los protocolos de estudio de TC y RM de las masas cardíacas, así como los hallazgos morfológicos, las localizaciones preferentes y las características más útiles para caracterizar las masas cardíacas benignas y establecer el diagnóstico diferencial con los tumores cardíacos malignos y las lesiones pseudotumorales no neoplásicas.

Palabras clave:
Masas cardíacas
Mixoma
Fibroelastoma
Lipoma
Rabdomioma

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