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Bi-atrial cardiac myxoma with glandular differentiation: a case report with detailed radiologic-pathologic correlation.


ABSTRACT:

Introduction

Myxoma is the most common cardiac benign tumour. While a typical myxoma is generally a straightforward diagnosis, some myxomas have unusual features that can make the diagnosis challenging. Glandular myxomas and metastatic adenocarcinomas, the most common type of metastatic carcinoma to the heart, can have very similar features.

Case presentation

We report a 60-year old man who presented with progressive shortness of breath on exertion. Echocardiography demonstrated a large heterogeneous, cystic left and right atrial mass. He was referred for surgery where a smooth and multilobulated left atrial mass was excised. Histopathological analysis with special stains revealed an unusual form of cardiac myxoma with extensive glandular differentiation.

Discussion

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SUBMITTER: Flint N 

PROVIDER: S-EPMC6177082 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature