Cardiac angiosarcoma

Changed by Henry Knipe, 10 Feb 2019

Updates to Article Attributes

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Cardiac angiosarcomas are the most common sarcoma involving the heart (see cardiac tumours). 

Epidemiology and clinical presentation

As these tumours tends to occur in the right atrium and involve the pericardium, patients usually present with right-sided heart failure or cardiac tamponade. They occur slightly more frequently in males. Please refer to the article of angiosarcomas, for a general discussion.

Epidemiology

They occur slightly more frequently in males. 

Clinical presentation

Patients usually present with right-sided heart failure or cardiac tamponade

Pathology

These tumours tend to occur in the right atrium and involve the pericardium.

Radiographic features

Two main morphologic types have been described in angiosarcoma:

  1. well-defined mass protruding into a cardiac chamber, usually the right atrium
    • CT shows a low-attenuation right atrial mass, which may be irregular or nodular (usually arises from the right atrial free wall)
    • contrast material enhancement is heterogeneous
  2. diffusely infiltrative mass extending along the pericardium
    • pericardial space may be obliterated with haemorrhagic, necrotic tumour debris

Treatment and prognosis

Prognosis is poor, which may be due in part to the delay in diagnosis (patients usually have metastatic involvement at presentation).

  • -<p><strong>Cardiac angiosarcomas</strong> are the most common sarcoma involving the heart (see <a href="/articles/primary-cardiac-tumours">cardiac tumours</a>). </p><h4>Epidemiology and clinical presentation</h4><p>As these tumours tends to occur in the right atrium and involve the pericardium, patients usually present with right-sided heart failure or cardiac tamponade. They occur slightly more frequently in males. Please refer to the article of <a href="/articles/angiosarcoma">angiosarcomas</a>, for a general discussion.</p><h4>Radiographic features</h4><p>Two main morphologic types have been described in angiosarcoma:</p><ol>
  • +<p><strong>Cardiac angiosarcomas</strong> are the most common sarcoma involving the <a title="Heart" href="/articles/heart">heart</a> (see <a href="/articles/primary-cardiac-tumours">cardiac tumours</a>). </p><p>Please refer to the article of <a href="/articles/angiosarcoma">angiosarcomas</a>, for a general discussion.</p><h4>Epidemiology</h4><p>They occur slightly more frequently in males. </p><h4>Clinical presentation</h4><p>Patients usually present with right-sided <a title="Heart failure (summary)" href="/articles/heart-failure-summary">heart failure</a> or <a title="Cardiac tamponade" href="/articles/cardiac-tamponade">cardiac tamponade</a>. </p><h4>Pathology</h4><p>These tumours tend to occur in the <a title="Right atrium" href="/articles/right-atrium">right atrium</a> and involve the <a title="Pericardium" href="/articles/pericardium">pericardium</a>.</p><h4>Radiographic features</h4><p>Two main morphologic types have been described in angiosarcoma:</p><ol>
Images Changes:

Image 1 CT (C+ arterial phase) ( create )

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