IJCP Editorial Team
Atypical Right Atrial Mass in a Neonate: Myxoid Spindle Cell Tumor Case Report
Introduction
Cardiac tumors containing spindle cells are typically associated with malignant cardiac sarcomas. Reports of benign spindle cell tumors in the neonatal period are exceedingly rare. We present the case of a neonate with progressive respiratory distress and a patent ductus arteriosus (PDA), ultimately diagnosed with a benign right atrial myxoid spindle cell tumor.
Case Presentation
A neonate was referred with symptoms of respiratory distress and suspected sepsis. Initial echocardiography revealed a small atrial septal defect, PDA, and a heterogeneous, rounded mass within the right atrium. Given the clinical instability, further evaluation was pursued.
Surgical excision of the mass was performed. Histopathological analysis confirmed the diagnosis of a right atrial myxoid spindle cell tumor with no evidence of local invasion, indicating a benign lesion. The postoperative course was uneventful, and follow-up echocardiography demonstrated normal cardiac structure and function.
Conclusion
This case highlights the importance of broad differential diagnosis when evaluating infants with signs suggestive of congenital heart disease. Neoplastic processes, though rare, must be considered. Importantly, the presence of spindle cells in cardiac pathology does not invariably predict malignancy. Benign spindle cell tumors can occur in neonates and may have excellent outcomes following timely surgical resection.
IJCP Editorial Team
Comprising seasoned professionals and experts from the medical field, the IJCP editorial team is dedicated to delivering timely and accurate content and thriving to provide attention-grabbing information for the readers. What sets them apart are their diverse expertise, spanning academia, research, and clinical practice, and their dedication to upholding the highest standards of quality and integrity. With a wealth of experience and a commitment to excellence, the IJCP editorial team strives to provide valuable perspectives, the latest trends, and in-depth analyses across various medical domains, all in a way that keeps you interested and engaged.
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