Work

Multidisciplinary Single Stage Surgical Management of Advanced Breast Carcinoma With Concomitant Left Atrial Myxoma

Year: 2026

Type: article

Abstract: Primary cardiac tumours are rare, with atrial myxomas accounting for approximately 50% of benign cardiac tumours. In patients with malignancy, intracardiac masses pose a diagnostic challenge because distinguishing primary tumours from metastases directly influences management. A 58-year-old woman with locally advanced invasive mucinous breast carcinoma developed a progressive fungating breast mass despite neoadjuvant chemotherapy and radiotherapy. Routine echocardiography incidentally revealed a large left atrial mass attached to the interatrial septum. Cardiac MRI and FDG PET-CT suggested a cardiac neoplasm but could not exclude metastasis. Given the embolic risk and urgent need for oncologic surgery, a multidisciplinary team performed single-stage toilet mastectomy, atrial mass excision with interatrial septal reconstruction and split-thickness skin grafting under one anaesthetic. Histopathology confirmed glandular atrial myxoma. Single-stage multidisciplinary surgery may safely reduce treatment delay, embolic risk, repeated anaesthesia, and hospitalization in carefully selected patients.

Source: Interdisciplinary CardioVascular and Thoracic Surgery

DOI: 10.1093/icvts/ivag252

Authors: Shriya Haval, Anurag Garg, Ranjit Pawar, Manoj Dongare

Institution: Dr. D.Y. Patil Vidyapeeth, Pune

Language: English

Topic: Cardiac tumors and thrombi

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,258