Diagnosis: Angiosarcoma of the Pericardium Angiosarcoma of the Pericardium: Facts - Most common cardiac sarcoma
- Most common in middle aged men
- Most commonly located near right atrial free wall with involvement of pericardium
- Typically infiltrates pericardium
The Pericardium: Facts - Normal thickness under 2 mm
- 50 ml of fluid is normal
- Calcification may be a sign of constrictive pericarditis
- Typically infiltrates pericardium
- Pericardium is involved in a range of inflammatory and neoplastic processes
Pericardial Tumors: Facts - Most often metastatic disease rather than a primary tumor
- Common primaries include esophageal cancer, thymoma, lung cancer and melanoma
and breast cancer - Lung cancer is most common in males and breast cancer in females
Primary Cardiac Tumors: Facts - Uncommon
- 75% are benign, 25% are malignant
- Most malignant cardiac tumors are angiosarcomas
- Angiosarcomas occur most commonly in the right atrium
Cardiac Tumors: Facts - Most common primary cardiac tumor is myxoma
- Myxomas are most common in the left atrium in or near the foramen ovale
- Benign tumors make up 77% of primary cardiac tumors
- Pericardial tumors are more common than intracardiac tumors
Pericardial tumors are more common than intracardiac tumors - Primary sites: lung, breast and melanoma
- May be multiple
- Commonly enhance
- Primary may be seen on the scan
Lymphoma Involves the Pericardium Left Innominate Vein Encased Pericardial Hemorrage Constrictive Pericarditis |