Age and Ageing Vol. 34 No. 2 © British Geriatrics Society 2005; all rights reserved
Case Report |
Natural history of an atrial myxoma
Elderly Care Unit, St Thomas Hospital, Lambeth Palace Road, London SE1 7EH, UK
Address correspondence to: W. Ullah. Email: waqas{at}doctors.org.uk
The case described is an 89-year-old male patient with a left atrial myxoma, first visualised in 1997, who was a poor operative candidate owing to severe chronic obstructive pulmonary disease (COPD). The tumour had a cross-sectional growth rate of only 0.2 cm2 per year and was asymptomatic over 79 months follow-up: the longest reported follow-up period of a non-calcified myxoma. The report highlights the variety of growth rates described for myxoma in the literature and raises the possibility of a conservative management approach, particularly in high-risk operative candidates.
Keywords: myxoma, growth rate, asymptomatic, management, elderly
Received October 10, 2004; accepted in revised form October 19, 2004.
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