# Cardiovascular neoplasm - Category: chronic - Review status: reviewed (every claim checked against a document named on this page) - Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class KD25 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK430685/ - Verified date: 2026-08 ## Verified against - No dose - referral pathway, no medicine given in primary care ## Treatment metadata - No drug therapy in primary care (Referral & Advice) ## Complete treatment card ```text CARDIOVASCULAR NEOPLASM Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class KD25 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK430685/ Review status: REVIEWED against the source listed above (2026-08) IS IT THIS? - reference only, to read alongside your own examination SYMPTOMS - what the patient reports (5) - Symptoms are vague and creep up slowly, so diagnosis and surgery are often late - Trouble comes from a leaking or blocked valve, or from flow blocked inside the heart - Fluid round the heart with tamponade, an abnormal rhythm, or congestive heart failure - A growing share cause nothing at all and turn up by chance on a scan - What shows depends on how big the tumour is, where it sits, how fast it grows and how far it invades TESTS (12) - Unless it is taken out, most cardiac masses cannot be named with certainty - Echocardiography is the key test: up to 90% sensitive and specific, and done at the bedside - Echo gives size, mobility, spread, relation to neighbouring structures, and any obstruction or valve leak - The transoesophageal view brings out small tumours the surface scan left unclear - Contrast echo separates a tumour from a clot; 3D echo adds shape and structural involvement - Cardiac MRI resolves better than echo and characterises the tissue itself - No late gadolinium uptake points to a clot rather than a tumour - In small series, MRI told benign from malignant with up to 79% accuracy - Fat-suppression sequences pick out fatty tumours such as lipoma and liposarcoma - A myxoma is dark on T1 and takes up little contrast, the picture of a poorly vascular benign lesion - CT reads the mass by its x-ray density, shows calcium in it, and finds small masses - Left heart catheterisation maps the tumour blood supply and any invasion of the surface coronary vessels IF NOT THIS - what else fits (4) - A clot or an infected vegetation can look the same as a tumour on imaging - With a device or prosthesis in place plus infection, a vegetation becomes the likelier answer - Heart failure in a cancer patient may be chemotherapy damage rather than tumour spread - Infection alone can raise masses inside the heart or the pericardium, or an effusion Source StatPearls "Cardiac Tumors" - disease-level clinical article Status traced to the source above 1. NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE) [1st line] Adult Tumours of the heart or blood vessels are rare and need cardiology or cardiothoracic surgery referral for imaging and biopsy or excision; this is a recognise-and-refer category with no primary-care drug treatment. - Refer, with advice Peds Children follow the same pathway: recognise and refer. No primary-care medicine is implied. Source No dose - referral pathway, no medicine given in primary care Why Tumours of the heart or blood vessels are rare and need cardiology or cardiothoracic surgery referral for imaging and biopsy or excision; this is a recognise-and-refer category with no primary-care drug treatment. Caution RED FLAG - Constitutional tumor symptoms (fever, weight loss, elevated ESR) mimicking endocarditis: assess urgently and refer. RED FLAG - Hemodynamic obstruction (positional syncope, acute pulmonary edema): assess urgently and refer. New murmur with embolic events, unexplained heart failure, or a palpable vascular mass are indications for urgent specialist referral. Rare in Egyptian primary care. No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to. Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy. ``` --- Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement. [Privacy policy](/privacy)