title: Twenty years experience in oncologic surgery for primary cardiac tumors.
abstract: BACKGROUND
  Primary cardiac tumors are uncommon in cardiac surgery. To investigate the clinical presentation, surgical results and long-term follow-up we retrospectively analyzed our experience in the treatment of primary cardiac tumors.
  
  
  METHODS
  Ninety-one patients with primary cardiac tumors underwent surgery in our department in the last 20 years. Fifty-one patients were female, the mean age was 62,2 years. Sixty-three had myxomas, 22 had papillary fibroelastoma, 4 had malignant neoformations and 2 had other benign tumors.
  
  
  RESULTS
  All myxomas, fibroelastomas and angiomyolipoma were radically removed. Only a palliative treatment was possible in malignant disease. In-hospital mortality was 1.2%. The mean follow-up time was 78.5 months. Three patients had recurrence of myxoma, all patients with malignant disease dead during the follow-up.
  
  
  CONCLUSIONS
  Primary benign cardiac tumors can be treated with low morbidity and mortality. The follow-up demonstrates that radical surgery is curative in case of benign tumors. The prognosis of malignant tumors is still poor. Palliative procedures have small impact on survival in these patients.
authors: S Orsola-Malpighi Hospital, University of Bogoda, Italy.
authors: A
authors: A
authors: Dell'amore
authors: A
authors: A
authors: Albertini
authors: M
authors: M
authors: Lamarra
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018207:Angiomyolipoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D005350:Fibroma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D017052:Hospital Mortality; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D010166:Palliative Care; D010210:Papillary Muscles / Q000601:surgery*; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome
references: Interact Cardiovasc Thorac Surg. 2005 Aug;4(4):311-5
references: 17670419
references: Interact Cardiovasc Thorac Surg. 2007 Oct;6(5):636-9
references: 17670730
references: J Thorac Cardiovasc Surg. 1974 Dec;68(6):857-68
references: 4422044
references: Eur J Cardiothorac Surg. 1997 Nov;12(5):730-7; discussion 737-8
references: 9458144
references: Heart Lung Circ. 2011 May;20(5):336-40
references: 21354369
references: Semin Diagn Pathol. 2008 Feb;25(1):39-46
references: 18350921
references: Medicine (Baltimore). 1985 Jul;64(4):270-83
references: 4010501
references: Ann Thorac Surg. 1999 Oct;68(4):1236-41
references: 10543485
references: Am J Cardiol. 1997 Sep 1;80(5):671-82
references: 9295010
references: Radiographics. 2000 Sep-Oct;20(5):1303-19
references: 10992020
references: Am J Cardiol. 1996 Jan 1;77(1):107
references: 8540447