Ossiel Rico-Ramírez1, Alberto Aranda-Fraustro2, Aloha Meave-Gonzalez3, Candace Keirns4, Erick Alexanderson-Rosas5 and Nilda Espinola-Zavaleta5,6*
1Department of Medicine, Autonomous University of Ciudad Juarez, Mexico
2Department of Pathology, National Institute of Cardiology Ignacio Chavez, Mexico
3Department of Magnetic Resonance imaging, National Institute of Cardiology Ignacio Chavez, Mexico
4Certified Medical Interpreter, N.B.C.M.I., USA
5Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Mexico
6Department of Echocardiography, ABC Medical Center, I.A.P, Mexico
Background: Cardiac tumors account for 0.002% to 0.2% of all tumors. At present, the diagnosis is made on clinical data and non-invasive imaging methods. The aim of this study was to present an overview of cardiac tumors in Mexico compared to reference data.Methods and
Results: The clinical and pathological records of 238 cases of cardiac tumors from 1983 through 2017 were reviewed. Of these 21 were excluded because of incomplete information. From the study population of 217 it was possible to follow 156. All patients underwent transthoracic echocardiography.One hundred-forty-six (93.6%) cardiac tumors were primary: 127(87%) benign and 19(13%) malignant. Two thirds of these were myxomas and one-twentieth rhabdomyomas. Secondary or metastatic cardiac tumors represented 6.4%.Sixty nine percent of all cardiac tumors were found in female patients. The most frequent location was left atrium (63%). Eighty-one patients (52%) were asymptomatic. 79% underwent surgical treatment, 8.3% received only medical treatment and 12.8% received no treatment. The surgical survival of the final group was 78.9%. Fifteen (9.7%) died during follow-up. In the survival curve based on tumor type, the myxomas had the longest survival.Conclusion: This population represents an overview of cardiac tumors in Mexico, compared to reference data. Cardiac tumors were more frequent in women with a female/male ratio of 2.19 to 1.0, and a predominance of primary cardiac tumors was found.
Cardiac tumors; Pathology; Epidemiology; Echocardiography; Retrospective study
Rico-Ramírez O, Aranda-Fraustro A, Meave-Gonzalez A, Keirns C, Alexanderson-Rosas E, EspinolaZavaleta N. An Overview of Cardiac Tumors in Mexico. Clin Oncol. 2019; 4: 1561.