Primary myxoma of the lung

Ann Diagn Pathol. 2010 Jun;14(3):178-81. doi: 10.1016/j.anndiagpath.2009.09.009. Epub 2009 Dec 22.

Abstract

A case of primary myxoma of the lung is presented. The patient is a 70-year-old woman who presented with a history of dyspnea, cough, and mild chest discomfort. Chest radiographic studies disclosed the presence of a well-marginated nodule in the left upper lobe. A wedge resection of the tumor mass was performed. The specimen contained a tan-gray, soft, well-circumscribed tumor nodule of approximately 1.8 cm in greatest dimension. Histologically, the tumor was characterized by a well-demarcated lesion, composed of loose spindle and stellate cells embedded in a myxoid matrix, containing thin-walled vessels. Immunohistochemical studies showed the cell to be negative for S-100, keratin, desmin, smooth muscle actin, and HMB-45. Vimentin stain showed positive staining in some of the stellate cells. No evidence of recurrence or metastatic disease was observed after 18 months.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biomarkers, Tumor / metabolism
  • Disease-Free Survival
  • Female
  • Humans
  • Immunohistochemistry
  • Lung Neoplasms / metabolism
  • Lung Neoplasms / pathology*
  • Lung Neoplasms / surgery
  • Myxoma / metabolism
  • Myxoma / pathology*
  • Myxoma / surgery
  • Radiography, Thoracic
  • Vimentin / metabolism

Substances

  • Biomarkers, Tumor
  • Vimentin