AI Article Synopsis

  • - Left atrial myxoma, a common benign tumor, may grow rapidly despite being known as a "slow-growing" tumor, leading to serious complications when it suddenly enlarges.
  • - A 64-year-old woman with a diagnosed left atrial tumor experienced a rapid change in her tumor's size and shape, accompanied by a sudden decline in her respiratory condition, prompting emergency surgery.
  • - The surgery revealed the myxoma was complicated by multiple internal hemorrhages, highlighting the importance of recognizing the potential risks associated with these tumors, as they can rapidly deteriorate despite their typical slow growth.

Article Abstract

Background: Left atrial myxoma is the most common benign tumor, with the growth rate remaining unknown because specific symptoms do not present until the tumor grows to a certain size. Early surgical management is performed in most cases once it is detected by physicians. Despite cardiac myxomas commonly being perceived as slow-growing tumors, rapid enlargement of myxomas has been reported.

Case Presentation: A 64-year-old woman was referred to our hospital with a diagnosis of a left atrial tumor. The pointed tumor changed morphologically in a few hours, and her respiratory condition, which had been normal at admission, suddenly deteriorated. Emergent surgery was performed, and the diagnosis was myxoma with multiple intratumor massive hematomas. The patient recovered uneventfully and was discharged on postoperative day 12 without any complications.

Conclusions: We report an extremely rare case of left atrial myxoma rapidly expanded due to acute multiple hemorrhages within itself. Massive internal hemorrhage alters the size, shape, and fragility of the tumor. We should recognize the potential risk of internal hemorrhage that may lead to acute deterioration of the so-called "slow-growing benign" tumors, such as myxomas.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10799350PMC
http://dx.doi.org/10.1186/s13019-024-02495-3DOI Listing

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