girl^interrupted
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A 38-year-old man has had increasing dyspnea with peripheral edema, worsening for the past two years. On physical examination he has diffuse crackles auscultated in both lungs. A chest radiograph shows that the heart nearly fills the chest. A chest CT scan demonstrates a 10 cm mass involving the right ventricle that appears to have areas of hemorrhage and necrosis within it. Which of the following neoplasms is this man most likely to have?
A Rhabdomyosarcoma
B Mesothelioma
C Myxoma
D Angiosarcoma
E Papillary fibroelastoma
F Kaposi sarcoma
G Rhabdomyoma
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| me007
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myxoma is the most common primary adult tumor of the heart.
C
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| NE
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I guess it is A- if are necrosis and hemorrhage should be a sarcoma and most common sarcoma of the heart is rhabdomyosarcoma
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| girl^interrupted
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(C) Incorrect. This neoplasm is usually found in one of the atria. It can produce obstruction of the AV valve (a 'ball-valve' effect).
(A) Incorrect. This is a very rare malignancy that typically appears in soft tissues.
So try again. Look for something a little bit more common, though all tumors of heart are extremely rare. Mass is in the rt ventricle. VERY large(definitely suggests a malignancy) and has hemorrhage and necrosis.
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| NE
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actually I had to check becose I knew (:mad rhabdomyosarcoma is the MCC of heart mass and al the chambers could be affected but is the second one!
So I guess is angiosarcoma .
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| girl^interrupted
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Is it rhabdomyosarcoma or rhabdomyoma?
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| me007
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what is the answer?
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| MRMAVERICK
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angiosarcoma
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| girl^interrupted
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Yeah its angiosarcoma.
Very typical presentation
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