TMSS Medical College Journal

Fetal cardiac rhabdomyoma is very rare; despite the fact that many cases and series have been reported. Improvements in diagnostic techniques, have made early detection of it. The objective of this case report is to create awaress among the patients regarding early sonographical detection and proper management of cardiac rhabdomyoma. In a study it was found that at ultrasonography, cardiac rhabdomyomas are detected by the end of the second gestational trimester either as a single or multiple, well delimitated, solid, homogeneous, hyperrefringent mass with varied dimensions. The early detection of these tumors allows a specialized prenatal follow-up and, instutitution of appropriate therapeutics, thus contributing for reducing the perinatal morbimortality.

Cardiac tumours in infants & children are extremely rare. The prevalence, reported from autopsy studies of patients of all ages, varies from 0.0017 0.28%. Among fetal cardiac tumour rhabdomyoma is most common. They account for over 60% of all primary cardiac tumour Rhabdomyomas are usually detected before birth or during the first year of life. This tumours are anomalous, benign proliferation of tissue displaying typical spider cells on histopathology. The rhabdomyoma may occur as a single lesion or as multiple lesions usually located within the ventricle. Clinical presentation of this tumour is determined by the tumor size and number and expansion of the malignancy has resulted in cardiac blood-flow obstruction. Management dependent on presence or absence of cardiac outflow obstruction. Most regress after birth. Careful evaluation for the presence of tuberous sclerosis is indicated for patient and family3,