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European Heart Journal 1982 3(2):100-106;
Copyright © 1982 by the European Society of Cardiology.
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© 1982 by The European Society of Cardiology

Two decades of atrial tumour

H. S. ROSMAN*, J. F. GOODWIN, W. P. CLELAND and H. H. BENTALL

Division of Cardiovascular Disease, Clinical Cardiology (Department of Medicine), Royal Postgraduate Medical School London

Received 29 June 1981; revised 8 September 1981; .

Requests for reprints to: Prof. J. F. Goodwin, Royal Postgraduate Medical School, Hammersmith Hospital, Ducane Road, London W120HS.

Abstract

We have reported 19 patients with atrial tumour. The long follow-up (5–19 years, mean 10 years) of the 17 patients with left atrial myxoma has been described. No patient showed evidence of recurrence of the tumour, although three patients have unexplained shadows—probably artifactual—on echocardiography. The limitations ofechocardiography and importance of clinical indicators are stressed.

One patient had a rhabdomyosarcoma of the left atrium and died one year after operation. Certain features differentiated this patient from those with myxoma.

It is concluded that true atrial myxoma does not metastasize. Reports in the literature of metastasizing left atrial myxoma probably refer to malignant tumours simulating myxoma. Variations from the typical clinical and haemodynamic picture of atrial myxoma should arouse suspicion of malignancy. Careful microscopic examination of the tumour is essential.

Key Words: Atrial tumour • myxoma • long follow-up • surgical treatment


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