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Article Details
Case Report
Volume 2, Issue 3 (August Issue)

Radiotherapy Induced Left Atrial Myxoma in a Non-Small Cell Lung Cancer Patient

Walid Shalata1*, Ismaell Massalha1*, Shlomo Yaron Ishay2, Elena Chernomordikov1, Raul Bitran1, Roxana D. Grinberg1, Alexander Yakobson1, Waleed Kian1, Keren Rouvinov1 and Yulia Dudnik1

1The Legacy Heritage Oncology Center and Dr. Larry Norton Institute, Soroka Medical Center and Ben Gurion University, Beer-Sheva, Israel

2Department of Cardio-Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
 
*Corresponding author: Walid Shalata, MD, Resident Physician of Oncology, The Legacy Heritage Oncology Center and Dr. Larry Norton Institute, Soroka Medical Center and Ben-Gurion University, Beer-Sheva, Israel, Tel: +972 (0)54 2967100; Email: walid.shalata@gmail.com 
 
Received: May 28, 2020; Accepted: June 10, 2020; Published: July 04, 2020

Citation: Walid S, Ismaell M, Shlomo Y, et al. Radiotherapy Induced Left Atrial Myxoma in a Non-Small Cell Lung Cancer Patient. Clin Image Case Rep J. 2020; 2(3): 117.

Abstract

In the present case study, we describe a 66 year old male with an atrial myxoma diagnosed eight years after treatment for non-small cell lung cancer. In 2012 he received chemo-radiotherapy (mediastinal area) for stage III-A adenocarcinoma of the lung. In 2020, a left atrial mass was seen on follow-up imaging, with characteristic findings of cardiac myxoma. In addition, diffuse bilateral pulmonary nodules (up to 5 mm in diameter) and left mediastinal lymphadenopathy were noted. In retrospect, the cardiac mass could be seen on a follow-up Computed Tomographic (CT) scan in 2017 within the radiated mediastinal field. The cardiac mass was excised at surgery, and pathologic examination confirmed the diagnosis of myxoma. To the best of our knowledge, this is the first case to be reported of a left atrial myxoma in a patient treated for adenocarcinoma of the lung and the first atrial myxoma reported to occur in a previously irradiated site. 
 
Keywords: Lung adenocarcinoma; Myxoma; Radiotherapy; Rare tumor; Malignant tumor