Atypical Left Ventricular Myxoma: Unusual Echocardiographic and Histopathological Features

2018 ◽  
Vol 11 (4) ◽  
pp. NP129-NP131
Author(s):  
Sushil Azad ◽  
Nilanjan Dutta ◽  
Kuntal Roy Chowdhuri ◽  
Tarun Raina Ramman ◽  
Nishit Chandra ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Histopathological Examination ◽  
Cardiac Myxoma ◽  
Surgical Excision ◽  
Interatrial Septum ◽  
Left Ventricular ◽  
Cardiac Tumors ◽  
Complete Surgical Excision ◽  
Vascular Proliferation ◽  
Cardiac Myxomas

Cardiac myxomas are the most common primary cardiac tumors and are typically attached to the interatrial septum. Left ventricular myxomas are exceedingly rare and presentation in children is all the more uncommon. We report a case of left ventricular myxoma with very atypical cystic appearance raising an initial suspicion of a hydatid cyst. Subsequently, cardiac magnetic resonance imaging was done, which ruled out the diagnosis of hydatid cyst. Complete surgical excision was done through transaortic and transmitral route. Histopathological examination revealed it to be a cardiac myxoma with vascular proliferation, which on echocardiography had appeared as a polycystic lesion. This is a very unusual histopathological presentation of cardiac myxoma.

Large Left Ventricular Fibroma: Case Report and Literature Review

2020 ◽  
Vol 15 (3) ◽  
pp. 283-285
Author(s):  
Ahmed S. Anwar ◽  
Mahmoud I. Salem ◽  
Ragab Beltagy ◽  
Karim Madi ◽  
Ahmed M. F. Elwatidy
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Lateral Wall ◽  
Large Mass ◽  
Postoperative Recovery ◽  
Left Ventricular ◽  
Cardiac Tumors ◽  
Shortness Of Breath ◽  
Resonance Imaging ◽  
Cardiac Fibroma

Benign cardiac tumors are rare and fibroma is second to rhabdomyoma in frequency in pediatric cardiac tumors. We report a case of a 14-year-old male patient, who presented with shortness of breath for 2 years. Echocardiogram and cardiac magnetic resonance imaging indicated a large mass located in the left ventricular lateral wall. The patient underwent surgical excision of the tumor, and histopathological examination confirmed the diagnosis of a cardiac fibroma. The patient had a good postoperative recovery and was discharged on sixth postoperative day.

scholarly journals Asymptomatic Left Ventricular Myxoma in a 12-Year-Old Male

2016 ◽  
Vol 43 (3) ◽  
pp. 267-269 ◽  
Author(s):  
Meghan Chlebowski ◽  
James O'Brien ◽  
Casey Hertzenberg ◽  
Jonathan Wagner
Keyword(s):  
Case Reports ◽  
Cardiac Myxoma ◽  
Surgical Excision ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Left Ventricular Cavity ◽  
Complete Surgical Excision ◽  
Left Ventricular Outflow ◽  
Atrial Tumors

Cardiac myxoma is the most common cardiac tumor in patients of all ages; the majority are encountered as single left atrial tumors. Left ventricular myxomas are exceedingly rare, having been recorded in a small number of case reports involving children worldwide. We report a case of a left ventricular myxoma with left ventricular outflow tract obstruction in a previously healthy, asymptomatic adolescent black male. Transthoracic echocardiograms revealed a single, large (2.5 × 5-cm), lobulated, mobile mass within the left ventricular cavity that oscillated into the outflow tract, thereby causing moderate obstruction during systole. Advanced images delineated the location and tissue composition of the mass, characterizing it as a myxoma. Complete surgical excision of the mass was accomplished via aortotomy. Gross examination and histology confirmed the diagnosis of myxoma.

scholarly journals Echocardiographic and Clinical Features in Diagnosis of Rare Cardiac Myxomas

2021 ◽  
Author(s):  
qi yanhua ◽  
miaoyan Ma ◽  
Yajuan Wei ◽  
jinfang wu ◽  
peirong gao ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Clinical Features ◽  
Heart Valves ◽  
Correct Diagnosis ◽  
Cardiac Myxoma ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Cardiac Tumors ◽  
Cardiac Myxomas

Abstract Background: Cardiac myxoma(CM) is a rare cardiac disease, with the majority located in the left atrium and less commonly in the right atrium, right ventricular, biatrial, left ventricular, right ventricular outflow tract or heart valves. These rare CMs need to be distinguished from other masses. The purses of our study is to provide important value in finding the extra-atrial tumor and making the correct diagnosis by reviewed echocardiographic and clinical features of five rare CMs. Methods: We reviewed medical records and echocardiographic data in all patients with surgery diagnosis of rare CMs from January 2019 to June 2020 in the second affiliated hospital, Xi’an Jiaotong University. Results: Five patients were enrolled in our study. The sites of CMs were rare and located separately on RV, PV, LV, LA and LVOT, LA. Four cases was myxomas and one was lipoma. Five patients recovered well after operation. Conclusions: Cardiac tumors developed in unusual locations should be considered to exclude the possibility of myxoma. Subheadings: Echocardiographic of rare Cardiac Myxomas

scholarly journals A Case of Incidental Schwannoma Mimicking Necrotic Metastatic Lymph Node from Bladder Cancer

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 728
Author(s):  
Jeong-Hyouk Choi ◽  
Koo-Han Yoo ◽  
Dong-Gi Lee ◽  
Gyeong-Eun Min ◽  
Gou-Young Kim ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Metastatic Lymph Node ◽  
Imaging Study ◽  
Surgical Excision ◽  
The Body ◽  
Pathological Examination ◽  
Cystic Tumor ◽  
Complete Surgical Excision ◽  
Ultrasound Computed Tomography ◽  
Retroperitoneal Schwannoma

Background and Objectives: Retroperitoneal schwannoma is a very rare case of schwannoma which commonly occurs in the other part of the body. However, it is difficult to distinguish schwannoma from other tumors before pathological examination because they do not show specific characteristics on imaging study such as ultrasound, computed tomography (CT), and magnetic resonance image (MRI). Case summary: A 60-year-old male showed a retroperitoneal cystic tumor which is found incidentally during evaluation of coexisted bladder tumor. Neurogenic tumor was suspicious for the retroperitoneal tumor through pre-operative imaging study. Finally, a schwannoma was diagnosed by immunohistochemical examination after complete surgical excision laparoscopically. Conclusion: As imaging technology is developed, there may be more chances to differentiate schwannoma from other neoplasm. However, still surgical resection and histopathological examination is feasible for diagnosis of schwannoma.

Mucinous cystadenocarcinoma of the oral tongue: malignant transformation from a mucinous cystadenoma?

2020 ◽  
Vol 13 (10) ◽  
pp. e235932
Author(s):  
Sofia Dutra ◽  
Miguel Rito ◽  
Miguel Vilares ◽  
Alexandra Borges
Keyword(s):  
Salivary Glands ◽  
Histopathological Examination ◽  
English Literature ◽  
Mucinous Cystadenoma ◽  
Surgical Excision ◽  
Mucinous Cystadenocarcinoma ◽  
Low Grade ◽  
Minor Salivary Glands ◽  
Oral Tongue ◽  
Complete Surgical Excision

Mucinous cystadenocarcinoma of minor salivary glands is an extremely rare entity that has only recently been described, with a few published cases in the English literature. A 42-year-old woman with a history of a surgically excised mucinous cystadenoma of the oral tongue, presented with a painful swelling in the oral tongue slowly growing for 1 month. On clinical examination, there was a firm, relatively well-circumscribed mass in the left posterior border of the mobile tongue. Subsequent MRI scan revealed a heterogeneous lesion composed of multiple cysts separated by contrast enhancing septa, in the posterior two-thirds of the left tongue. Imaging findings were similar to those of the previously resected mass, suggesting local relapse of the primary lesion. A complete surgical excision was performed and the histopathological examination revealed typical features of a low-grade mucinous cystadenocarcinoma of minor salivary glands.

Inflammatory myofibroblastic tumor of heart in a 4-month-old infant

2017 ◽  
Vol 26 (1) ◽  
pp. 47-49 ◽  
Author(s):  
Aitizaz U Syed ◽  
Mansour B Al Mutairi ◽  
Mustafa Al Muhaya ◽  
Mofeed Morsey ◽  
Ahmed Al Hujailey ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Inflammatory Myofibroblastic Tumor ◽  
Middle Eastern ◽  
Surgical Excision ◽  
Cardiac Tumors ◽  
Eastern Region ◽  
Baby Girl ◽  
Primary Tumors ◽  
Clinical Behavior ◽  
Complete Surgical Excision

Primary tumors of heart are rare in infants. We report a case of inflammatory myofibroblastic tumor in a 4-month-old baby girl who presented with a massive pericardial effusion. She underwent complete surgical excision of the tumor. This is the first reported case from the Middle Eastern region. The clinical behavior and management of these rare infantile cardiac tumors are discussed briefly in this report.

scholarly journals Thymic pathology and cardiac myxomas: Coincidence or a closer relationship?

2018 ◽  
Vol 88 (1) ◽  
Author(s):  
Sotirios D. Moraitis ◽  
Apostolos C. Agrafiotis ◽  
Dimitrios Pappas ◽  
Chrysovalantis Pothitakis ◽  
Maria Stergianni ◽  
...  
Keyword(s):  
Left Atrium ◽  
Cardiac Myxoma ◽  
Anterior Mediastinum ◽  
Thymus Gland ◽  
Thymic Hyperplasia ◽  
Cardiac Tumors ◽  
Cardiac Myxomas ◽  
Thymic Tumors

Myxomas are the most common benign cardiac tumors and are located more frequently in the left atrium. In the literature there are cases describing the coexistence of thymic tumors and cardiac myxomas. In the case reported herein, during the resection of a cardiac myxoma, an enlarged thymus gland was encountered and resected. The histological exam revealed a thymic hyperplasia. The aim of this case study is to assess the need of conducting further studies in order to identify a common histological pathway between thymic lesions and cardiac myxomas. The diagnosis of a cardiac myxoma could justify a further workup of the anterior mediastinum in order not to overlook a lesion of thymic origin.

scholarly journals Microemboli monitoring by trans-cranial doppler in patient with acute cardioemboliogenic stroke due to atrial myxoma

2010 ◽  
Vol 2 (1) ◽  
pp. 5 ◽  
Author(s):  
Gregory Telman ◽  
Orit Mesica ◽  
Efim Kouperberg ◽  
Oved Cohen ◽  
Gil Bolotin ◽  
...  
Keyword(s):  
Cerebral Artery ◽  
Cardiac Myxoma ◽  
Surgical Excision ◽  
Interatrial Septum ◽  
Acute Onset ◽  
Atrial Myxoma ◽  
Clonic Seizures ◽  
The Right ◽  
The Brain ◽  
Trans Cranial Doppler

This is the first reported attempt to examine the emboliogenic potential of cardiac myxoma in patients with acute stroke through the monitoring of microembolic signals (MES) by transcranial doppler. A 43-year old woman was brought to the emergency department because of acute onset of generalized tonic-clonic seizures and left hemiplegia. A CT scan of the brain demonstrated a large acute infraction in the territory of the right middle cerebral artery (MCA) and another smaller one in the territory of the posterior cerebral artery on the same side. Trans-cranial doppler (TCD) microemboli monitoring did not reveal MES. Transesophagial echocardiography (TEE) identified a 5 cm left atrial mass, which was highly suspected to be an atrial myxoma attached to the interatrial septum and prolapsed through the mitral valve. After the TEE results were obtained, another TCD monitoring was performed. Again, there were no MES found in either of the MCAs. Our findings showed the absence of MES on two consecutive TCD examinations, suggesting a spontaneous occurrence, rather than the permanent presence, of embolization, even in the most acute phase of stroke. Thus, the tendency of myxomas to spontaneously produce multiple emboli emphasizes the need for the surgical excision of myxomas.

scholarly journals Left Atrial Myxoma with Tricuspid Regurgitation: Pathophysiology, Diagnostic Approach, and Management

2015 ◽  
pp. 28-3
Author(s):  
Prima Almazini ◽  
Bambang Budi Siswanto ◽  
Nani Hersunarti ◽  
Rarsari Soerarso ◽  
Amiliana M Soesanto
Keyword(s):  
Cardiac Myxoma ◽  
Clinical Manifestations ◽  
Definitive Treatment ◽  
Surgical Removal ◽  
Cardiac Tumors ◽  
Gold Standard Method ◽  
Left Atrial Myxoma ◽  
Associated Conditions ◽  
Cardiac Myxomas ◽  
Primary Cardiac Tumors

Cardiac myxomas are the most common primary cardiac tumors. Myxoma are more common in women. Clinical manifestations can mimic many cardiac and noncardiac conditions. Transthoracic echocardiography (TTE) is the gold standard method in the diagnosis of cardiac myxoma. The management of cardiac myxoma are medical therapy for the treatment of associated conditions and surgical removal as the definitive treatment.

scholarly journals Falx cerebri tuberculoma mimicking en plaque meningioma – case report

2016 ◽  
Vol 30 (2) ◽  
pp. 209-213
Author(s):  
A.I. Cucu ◽  
Dana Mihaela Turliuc ◽  
Anca Sava ◽  
Gabriela Florenţa Dumitrescu ◽  
Ş. Turliuc ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Antituberculous Therapy ◽  
Falx Cerebri ◽  
Clinical Imaging ◽  
Complete Surgical Excision ◽  
Histopathologic Diagnosis ◽  
History Of ◽  
Cerebral Tuberculosis

Abstract Background: The involvement of falx cerebri in tuberculosis is extremely rare, with only three cases reported so far in the literature. The diagnosis is most often difficult to establish, given the location of the lesion, making surgical intervention necessary for a definite histopathologic diagnosis. Methods: We present the case of a 49-year old female patient who was admitted for a right jacksonian seizure, followed by a right crural monoparesis, without a history of tuberculosis. The lesion mimicked a falx cerebri en plaque meningioma in the imaging tests. Results: A complete surgical excision was performed through a left fronto-parietal parasagittal approach. The histopathological examination revealed a case of cerebral tuberculosis. The surgical treatment was complemented postoperatively with antituberculous therapy. Conclusion: In this article, we emphasize the rarity of the lesion at this level and also presenting similar cases from the literature. Moreover, we also discuss epidemiological, clinical, imaging, therapeutic as well as pathological aspects of en-plaque dural tuberculoma.

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