MRCP UK EXAMINATIONS

CARDIOLOGY

PROSTHETIC HEART VALVES

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
____ is the most common primary cardiac tumor found in children; many arediagnosed within the first year of life and greater than 90% by the age of 15
A
fibroma
B
lipoma
C
myxoma
D
rhabdomyoma
Explanation: 

Detailed explanation-1: -The most common primary cardiac tumour in infants and children is rhabdomyoma. It accounts for more than 60% of all primary cardiac tumours [6, 7]. Rhabdomyomas are usually located within the ventricles but not infrequently they may also originate in the atriums.

Detailed explanation-2: -Noncancerous primary heart tumors that develop in adults include: Myxoma. This is the most common noncancerous primary heart tumor (about 50% of all cases). It needs to be removed through surgery to prevent serious complications like an embolism.

Detailed explanation-3: -Cardiac rhabdomyoma is a rare and benign mesenchymal tumor of striated muscle origin. It most commonly involves the head and neck. [1] It classifies under cardiac and extracardiac types. Extracardiac are further classified into adult, fetal, and germ cell tumors.

Detailed explanation-4: -Rhabdomyomas are the most common tumor in children, with approximately 75% diagnosed in children younger than 1 year. Of these tumors, 50-80% are associated with tuberous sclerosis. Fibromas are the second most common tumor in children, with most (40%) diagnosed in children younger than 1 year.

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