← All decks
Radiology
Cardiac Tumors
Built from Obstetric Imaging
What’s inside
8 sections · 48 slides
Overview
- What you will learn here
What a cardiac tumour is
Definition, where it grows, and how often it happens
- A lump growing in the baby's heart
- Three places a heart tumour can start
- Quiet most of the time
- 0.14–0.17%
- Reading those numbers
The tumour types
Five names, and what each one looks like on the scan
- The family of fetal heart tumours
- The commonest one, by far
- A single bright mass in the ventricle
- Bright tumour in the ventricular wall, grey-scale view
- Colour Doppler across the same heart
- Bright rounded masses inside a fetal heart
- A rhabdomyoma specimen after removal
- Many masses, not one
- The dangerous one
- Why a teratoma kills
- Giant mass outside the heart with fluid around it
- Cut surface of a mature teratoma from the chest
- Fluid in the sac around the heart
- The other three tumours
- A gelatinous mass filling a heart chamber
- Telling them apart on the scan
The tuberous sclerosis link
Why counting the masses changes the whole conversation
- Usually the tumour travels alone
- Counting the masses is the decision point
- What tuberous sclerosis is
- Skin signs of tuberous sclerosis
- The heart is not the main problem
- What to do when you suspect it
How a tumour harms the fetus
From a harmless lump to heart failure and hydrops
- The chain from lump to loss
- The complications to watch for
- What these babies look like clinically
Imaging the tumour
Ultrasound first, MRI for the brain, histology for the final word
- When and how they are found
- The scan you must do
- What each tumour looks like on ultrasound
- Where magnetic resonance helps
- The full toolkit, and the final answer
Management
Before birth and after birth
- The care pathway
- Before birth: the default is watching
- Draining the sac around the heart
- A drug given through the mother
- After birth: most simply disappear
Pulling it together
What the referring clinician needs to carry away
- What the referring physician needs to know
- Key points
- Five things to remember
- References
- References (continued)
- Suggested readings
- Obstetric Imaging: Fetal Diagnosis and Care, 2nd Edition