TITLE:
Diagnostic Dilemma of Intracardiac Mass: Tumor versus Thrombus-Case Series and Systematic Review
AUTHORS:
Indira Acharya, Ashik Pokharel, Raktim Ghosh, Christopher J. Haas
KEYWORDS:
Echocardiography, Cardiac Masses, Arrhythmias, Cardiac Magnetic Resonance Imaging, Cardiac Thrombi
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.12 No.7,
July
18,
2024
ABSTRACT: Background: The differential diagnosis for intracavitary cardiac masses is limited, typically including vegetations, tumors, or thrombi. Cardiac thrombi can often mimic cardiac tumors on imaging, creating a diagnostic challenge. Primary cardiac tumors are rare and usually benign, whereas most cardiac tumors result from metastases, commonly originating from malignancies in the breast, lung, or melanoma. Aim: This report highlights the importance of distinguishing various cardiac masses based on clinical presentations, clinical courses, and radiological features. Case Presentation: We describe two cases of cardiac masses with unique and diverse clinical features. Each case posed significant diagnostic challenges due to their distinct presentations and clinical progressions. Conclusion: These cases underscore the importance of considering both benign and metastatic origins in the differential diagnosis of intracavitary cardiac masses. Accurate differentiation between thrombi and tumors is crucial for appropriate management and treatment.