Table 2.
Histologic Type | Age | Site in Heart | Multiplicity | Syndromic Association | |||
---|---|---|---|---|---|---|---|
Fetuses, Iinfants | Children | Adults | Layer | Location | |||
Benign congenital tumors | |||||||
Rhabdomyoma | ++ | + | Myocardium | Ventricles | Usual | Tuberous sclerosis | |
Fibroma | + | ++ | + | Myocardium | Ventricle, ventricular septum | Rare | Gorlin syndrome |
Histiocytoid cardiomyopathy | ++ | +/1 | Endocardium, myocardium | Ventricles, atrial, AV SA nodes | Always | ||
Benign acquired tumors | |||||||
Myxoma | +/- | ++ | Endocardium | LA, atrial septum | Rare | Carney complex | |
RA, atrial septum | |||||||
Papillary fibroelastoma | ++ | Endocardium | Valves >atria >ventricles | Occasional | |||
Hemangiomab | + | + | + | Myocardium Endocardium | Atria >ventricles | Unusual | |
Lipomatous hypertrophy | ++ | Myocardium of atrial septum | |||||
Lipoma | ++ | Myocardium, epicardium, endocardium | All sites | Rare | |||
Inflammatory myofibroblastic tumord | ++ | + | +/- | Endocardium | Valves >atria | Occasional | |
Germ cell tumors | |||||||
Teratoma | ++ | + | +/- | Pericardial cavity | No | ||
Ventricular septum (rare) | |||||||
Yolk sac tumor | ++ | + | Pericardial cavity | No | |||
Ventricular septum (rare) | |||||||
Malignant tumors | |||||||
Angiosarcoma | +/- | ++ | All layers | Right atrium, pericardium | Occasional | ||
UPS/myxofibrosarcoma | +/- | +/- | ++ | Endocardium | Left atrium | Rare | |
Other sites | |||||||
Rhabdomyosarcoma | +/- | ++ | + | Myocardium | Ventricles | No | |
Leiomyosarcoma | +/- | ++ | Endocardium | Left atrium | No | ||
Lymphoma | +/- | ++ | Myocardium | Right atrium, others | Occasional |
WHO, World Health Organization; AV, atrioventricular; SA, sinoatrial; LA, left atrium; RA, right atrium; UPS, undifferentiated pleomorphic sarcoma.