Villiform cardiac myxoma with atypical glandular differentiation in a young girl: a case report

Abstract Background Cardiac myxoma with glandular differentiation is a rare finding. It accounts for approximately ≤ 3% of all cardiac myxomas. The presence of cellular atypia resembling adenocarcinoma is an extremely rare finding in cardiac myxoma. Case presentation Here, we present a case of villi...

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Main Authors: Sangram Keshari Behera, Debahuti Mohapatra, Debirupa De, Krishna Sai Sharan, Swagatika Samal
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-025-05229-8
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author Sangram Keshari Behera
Debahuti Mohapatra
Debirupa De
Krishna Sai Sharan
Swagatika Samal
author_facet Sangram Keshari Behera
Debahuti Mohapatra
Debirupa De
Krishna Sai Sharan
Swagatika Samal
author_sort Sangram Keshari Behera
collection DOAJ
description Abstract Background Cardiac myxoma with glandular differentiation is a rare finding. It accounts for approximately ≤ 3% of all cardiac myxomas. The presence of cellular atypia resembling adenocarcinoma is an extremely rare finding in cardiac myxoma. Case presentation Here, we present a case of villiform cardiac myxoma with atypical glandular differentiation in a 16-year-old Indo-Aryan girl, which was initially mistaken as metastatic adenocarcinoma on routine histology. Conclusion A thorough histopathological examination, supported by immunohistochemical and radiological correlation, assists in accurate diagnosis and concurrently evades the misdiagnosis of metastatic adenocarcinoma.
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spelling doaj-art-eb4258c5c7a649d783dedb84d7cfe3e72025-08-20T03:13:57ZengBMCJournal of Medical Case Reports1752-19472025-04-011911410.1186/s13256-025-05229-8Villiform cardiac myxoma with atypical glandular differentiation in a young girl: a case reportSangram Keshari Behera0Debahuti Mohapatra1Debirupa De2Krishna Sai Sharan3Swagatika Samal4Department of Cardiothoracic Vascular Surgery, IMS & SUM Hospitals, Siksha O Anusandhan UniversityDepartment of Pathology, IMS & SUM Hospitals, Siksha O Anusandhan UniversityDepartment of Pathology, IMS & SUM Hospitals, Siksha O Anusandhan UniversityDepartment of Pathology, IMS & SUM Hospitals, Siksha O Anusandhan UniversityDepartment of Pathology, IMS & SUM Hospitals, Siksha O Anusandhan UniversityAbstract Background Cardiac myxoma with glandular differentiation is a rare finding. It accounts for approximately ≤ 3% of all cardiac myxomas. The presence of cellular atypia resembling adenocarcinoma is an extremely rare finding in cardiac myxoma. Case presentation Here, we present a case of villiform cardiac myxoma with atypical glandular differentiation in a 16-year-old Indo-Aryan girl, which was initially mistaken as metastatic adenocarcinoma on routine histology. Conclusion A thorough histopathological examination, supported by immunohistochemical and radiological correlation, assists in accurate diagnosis and concurrently evades the misdiagnosis of metastatic adenocarcinoma.https://doi.org/10.1186/s13256-025-05229-8Cardiac myxomaGlandular differentiationImmunohistochemistry
spellingShingle Sangram Keshari Behera
Debahuti Mohapatra
Debirupa De
Krishna Sai Sharan
Swagatika Samal
Villiform cardiac myxoma with atypical glandular differentiation in a young girl: a case report
Journal of Medical Case Reports
Cardiac myxoma
Glandular differentiation
Immunohistochemistry
title Villiform cardiac myxoma with atypical glandular differentiation in a young girl: a case report
title_full Villiform cardiac myxoma with atypical glandular differentiation in a young girl: a case report
title_fullStr Villiform cardiac myxoma with atypical glandular differentiation in a young girl: a case report
title_full_unstemmed Villiform cardiac myxoma with atypical glandular differentiation in a young girl: a case report
title_short Villiform cardiac myxoma with atypical glandular differentiation in a young girl: a case report
title_sort villiform cardiac myxoma with atypical glandular differentiation in a young girl a case report
topic Cardiac myxoma
Glandular differentiation
Immunohistochemistry
url https://doi.org/10.1186/s13256-025-05229-8
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