CC BY-NC-ND 4.0 · Indian J Radiol Imaging
DOI: 10.1055/s-0044-1800863
Case Report

Intramyocardial Hemangioma Mimicking Paraganglioma in Cardiac MRI and DOTANOC PET

1   Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
,
1   Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
,
1   Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
,
1   Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
› Author Affiliations
Funding None.

Abstract

A cardiac hemangioma is a rare primary benign intracardiac tumor characterized by proliferation of endothelial cells. The lesions are hyperintense on T2/short tau inversion recovery magnetic resonance imaging (MRI) and show avid enhancement and retention of contrast agents. Here we present a case of a histopathologically proven cardiac hemangioma showing uptake on Dodecanetetraacetic acid - octreotate (DOTATATE), masquerading as paraganglioma in MRI and positron emission tomography imaging.

Authors' Contributions

J.V. conceptualized the study. A.R.C. and J.V. contributed to data collection and interpretation. A.R.C., J.V., and A.A. contributed to manuscript and figure preparation and manuscript revision based on feedback from co-authors. J.V. and A.A. supervised the study and made critical revision of the manuscript. All authors reviewed the results and approved the final version of the manuscript.


Patient Consent

The authors confirm that written consent for submission and publication of this case including images and associated text has been obtained from the patient in line with the COPE guidance.




Publication History

Article published online:
11 December 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Tyebally S, Chen D, Bhattacharyya S. et al. Cardiac tumors: JACC CardioOncology state-of-the-art review. JACC Cardiooncol 2020; 2 (02) 293-311
  • 2 Aggeli C, Dimitroglou Y, Raftopoulos L. et al. Cardiac masses: the role of cardiovascular imaging in the differential diagnosis. Diagnostics (Basel) 2020; 10 (12) 1088
  • 3 Parwani P, Co M, Ramesh T. et al. Differentiation of cardiac masses by cardiac magnetic resonance imaging. Curr Cardiovasc Imaging Rep 2020; 13: 1
  • 4 Tella SH, Jha A, Taïeb D, Horvath KA, Pacak K. Comprehensive review of evaluation and management of cardiac paragangliomas. Heart 2020; 106 (16) 1202-1210
  • 5 Shayan YR, Prendiville JS, Goldman RD. Use of propranolol in treating hemangiomas. Can Fam Physician 2011; 57 (03) 302-303
  • 6 Gilardi L, Vadrucci M, Grana CM. Multiple vertebral hemangiomas: a potential pitfall in 68Ga-DOTATOC PET/CT interpretation. Endocrine 2017; 55 (03) 992-993
  • 7 Shah A, Binkovitz L, Layman AJ, Bois MC, Nguyen B. Cardiac hemangioma mimicking a neuroendocrine tumor on 68 Ga Dotatate PET/CT. J Card Surg 2022; 37 (09) 2849-2851