Key result
Radical excision of an EBV-positive lymphoma-harboring atrial myxoma achieves disease-free survival at 4 months.
Why the study?
Lymphomas arising in cardiac myxomas represent a particularly rare pathology, with only a few cases reported in the literature.
Case Report (n=1)
No
This case highlights that apparently benign cardiac myxomas can conceal EBV-positive fibrin-associated diffuse large B-cell lymphoma, reinforcing the necessity of radical surgical excision with safe margins.
Answers are grounded in this paper and cite their sources.
Short-term success after excision in EBV-positive myxoma lymphoma; hypothesis-generating for routine pathology review but should not change practice.
Background: lymphomas arising in cardiac myxomas represent a particularly rare pathology, with only few cases reported in the literature. Case presentation: we report a completely exeresis of malignant lymphoma arising in a cardiac myxoma in a 44 years-old female patient. The myxoma presented like a floating mass within the left atrium with a maximum diameter of 3.5 cm. The clinical post-operative period was uneventful and the patient was dismissed on sixth post-operative day. Conclusions: This case reinforces the concept of a radical exeresis of cardiac neoplasms
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Pirola et al. (2021) conducted a case report in EBV-positive fibrin-associated diffuse large B-cell lymphoma arising within a left atrial cardiac myxoma (n=1). Radical full-thickness surgical excision via left atriotomy was evaluated on Postoperative recovery and disease-free survival. Radical surgical excision of a 3.5 cm left atrial myxoma harboring an EBV-positive fibrin-associated large B-cell lymphoma resulted in an uneventful discharge on day 6 and no disease at 4 months.
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