Cardiac Sarcoma Clinical Presentation

Updated: Jan 17, 2019
  • Author: John H Raaf, MD, PhD; Chief Editor: Eric H Yang, MD  more...
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Presentation

History

No typical presentation of cardiac sarcoma exists because the common symptoms and signs are nonspecific. However, patients may complain of dyspnea, chest pain, and/or generalized fatigue.

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Physical

Cardiac sarcoma has no pathognomonic physical features that may be discovered on examination. However, the following signs may accompany cardiac sarcoma:

  • Dyspnea

  • Hemoptysis

  • Diminished cardiac sounds

  • Friction rub

  • Rales

  • Refractory arrhythmias

  • Heart block

  • Heart failure

An audible plop due to tumor prolapse through the mitral valve may be appreciated.

Left-sided embolization may lead to cerebrovascular accident, peripheral organ infarction, seizures, and distant metastases.

Upper extremity and facial congestion (suggestive of superior vena cava syndrome) and dysphonia may occur.

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