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Summary
Most benign primary cardiac tumours are myxomas; non-myxomatous tumours are less common but comprise a wide variety. Cardiac lipoma is a rare non-myxomatous variety. A 70-year-old Caucasian woman with right breast cancer status postpartial mastectomy underwent surveillance MRI of the breast and was found to have a possible right atrial (RA) mass. She also reported frequent headaches and palpitations. She underwent a transoesophageal echocardiogram which showed a 2.6×1.6×1.6 cm echogenic mass at the superior vena cava (SVC) and RA junction. She was anticoagulated for a possible thrombus without resolution. Surgical excision was undertaken in view of ongoing symptoms and partial occlusion of the SVC. Intraoperatively, a 2–3 cm smoothly textured lobulated mass was found and histopathology showed adipose tissue consistent with lipoma. The postoperative course was uneventful, and the patient was discharged in stable condition.
- Cancer - See Oncology
- Cardiovascular System
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Footnotes
Contributors AW is the primary author of this case report. He wrote the first draft of the case report and did a preliminary research of the literature. He initially wrote the draft and handed over to other authors for proofreading. He planned and organised the data. SC is the second author who contributed to the case report. He added few important articles after searching the literature and also helped in writing the discussion part. AM is the cardiologist who was actually involved in patient's management and was managing the patient throughout the course. He was aware of the minor details. The case presentation was completed with his help and was reviewed by him later on after writing it, and he viewed the technical aspects of the case with cardiology and cardiothoracic surgery being the main relevant fields. He also provided the echocardiogram pictures and also labelled them. SJS reviewed and edited the final draft. She is the programme director. She reviewed the language aspect of the case report and did fine tuning of the article. She gave the final shape to the article. She also helped in doing the technical aspects of using references.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.