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Age and Ageing 2005 34(2):186-188; doi:10.1093/ageing/afi010
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Age and Ageing Vol. 34 No. 2 © British Geriatrics Society 2005; all rights reserved

Case Report

Natural history of an atrial myxoma

Waqas Ullah and Rory McGovern

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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