Synchronous occurrence of left atrial myxoma and chondromatous pulmonary hamartoma – case report Case report
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Abstract
We report a case of a 58-year-old woman admitted to the hospital due to one episode of syncope, progressive excercise intolerance, dyspnea, and palpitations since one month. Diagnostic imaging revealed two tumors: cardiac and pulmonary. Cardiac mass arise within left atrium and fall into the left ventricle during systole, mimicking the mitral stenosis. Pulmonary mass was located in 6 bronchopulmonary segment of the left lung and was attached to visceral pleura. It was impossible to perform a fine-needle aspiration due to it’s location behind the aorta. An urgent right mini-thoracotomy and mass resection was performed. The next step was a wedge resection of the lung. Histology showed myxoma of the heart and pulmonary hamartoma. The postoperative course of the patient was uncomplicated.
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Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
References
2. Pinede L., Duhaut P., Loire R.: Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore) 2001; 80: 159-172.
3. Gjevre J.A., Myers J.L., Prakash U.B.: Pulmonary hamartomas. Mayo Clin. Proc. 1996; 71: 14-20.
4. Ahmed S., Arshad A., Mador M.J.: Endobronchial hamartoma; a rare structural cause of chronic cough. Respir. Med. Case Reports 2017; 22: 224-227.
5. Leja M.J., Shah D.J., Reardon M.J.: Primary cardiac tumors. Texas Hear. Inst. J. 2011; 38: 261-262.
6. Bussani R., De-Giorgio F., Abbate A., Silvestri F.: Cardiac metastases. J. Clin. Pathol. 2007; 60: 27-34.
7. Glancy D.L., Morales J.B., Roberts W.C.: Angiosarcoma of the heart. Am. J. Cardiol. 1968; 21: 413-419.
8. MacGowan S.W., Sidhu P., Aherne T. et al.: Atrial myxoma: national incidence, diagnosis and surgical management. Ir. J. Med. Sci. 1993; 162: 223-226.
9. Jain S., Maleszewski J.J., Stephenson C.R., Klarich K.W.: Current diagnosis and management of cardiac myxomas. Expert Rev. Cardiovasc. Ther. 2015; 13: 369-375.
10. Stratakis C.A. Kirschner L.S., Carney J.A.: Clinical and Molecular Features of the Carney Complex: Diagnostic Criteria and Recommendations for Patient Evaluation. J. Clin. Endocrinol. Metab. 2001; 86: 4041-4046.
11. Stratakis C.A., Salpea P., Raygada M.: Carney Complex. GeneReviews®. University of Washington, Seattle 1993.
12. Ni B., Lu X., Gong Q., Shao Y.: Simultaneous resection of left atrial myxoma and esophageal carcinoma via right thoraco-abdominal approach. J. Thorac. Dis. 2016; 8: E531-E534 .
13. González-Cantú Y.M., Rodriguez-Padilla C., Tena-Suck M.L. et al.: Synchronous Fibrolamellar Hepatocellular Carcinoma and Auricular Myxoma. Case Rep. Pathol. 2015; 241708.
14. Ekinci G. H., Hacıömeroğlu O., Ersev A. et al.: The frequency of lung cancer in patients with pulmonary hamartomas: An evaluation of clinical, radiological, and pathological features and follow-up data of 96 patients with pulmonary hamartomas. Rev. Port. Pneumol. 2017; 23: 280-286.
15. Jindal A., Madan K., Nijhawan R., Singh N.: Incidental pathologically proven pulmonary hamartoma in a patient with carcinoma tongue. Case Reports 2013; bcr2013008942-bcr2013008942.
16. da Silva V. A., Kataguiri P., Trufelli D.C. et al.: Pulmonary hamartoma as a differential diagnosis of breast cancer metastasis: case report. J. Bras. Pneumol. 2007; 33: 738-742.