Heart tumor

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Classification according to ICD-10
C38.0 Malignant neoplasm - heart
D15.1 Benign neoplasm - heart
D48.7 New formation of unsafe or unknown behavior at other specified locations
C79.8 Secondary malignant neoplasm in other specified locations
ICD-10 online (WHO version 2019)

The heart tumor is a very rare type of tumor disease . A distinction must be made here between primary and secondary, i.e. metastases from other tumors.

Primary cardiac tumors

The primary heart tumors are very rare and almost always benign. In humans, primary cardiac tumors were found in autopsies in 0.056% of those examined. In 77% of the cases it is a myxoma , the remaining 23% of benign tumors are fibromas , rhabdomyomas or hamartomas . A malignant sarcoma (an angiosarcoma ) can also occur very rarely .

In domestic dogs, the information on the frequency of primary heart tumors fluctuates between 0.12 and 4.33%. Here hemangiosarcomas predominate , chemodectomas , neurofibrosarcomas and rhabdomyosarcomas are very rare . In domestic cats, the frequency is 0.03%.

Secondary cardiac tumors

The secondary heart tumors are metastases from other cancers . This can cause tumors

  • adjacent organs directly into the pericardium waxing,
  • sprinkle into the heart via the bloodstream ( hematogenous ),
  • sprinkle into the heart or pericardium via the lymphatic vessel ( lymphogenic ) or
  • expand inside the heart ( intracavity ).

About 15% of people with tumors have heart metastases. Mostly they are metastases from a malignant melanoma , breast cancer or lung cancer . In a malignant lymphoma in 20-30% of cases affected the heart.

In domestic dogs, metastases from carcinomas , lymphosarcomas and hemangiosarcomas are the most common.

literature

Individual evidence

  1. Alphabetical index for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 77
  2. KY Lam et al .: Tumors of the heart. A 20-year experience with a review of 12485 consecutive autopsies. In: Archives of Pathology & Laboratory Medicine . 117: 1027-1031 (1993).
  3. a b c Heike Aupperle et al .: Metastases in the heart in dogs and cats. In: Small Animal Practice. 57 (2012), pp. 357-364.
  4. ^ G. Rolla, F. Calligaris-Cappio: Metastatic tumors to the heart. In: WD Travis et al. (Ed.): Pathology and genetics of tumors of the lung, pleura thymus and heart. IARC Press 2004, p. 284.