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Ann Thorac Surg 1981;32:406-410
© 1981 The Society of Thoracic Surgeons

Articles

Myocardial Fibroma or Fibrous Hamartoma

T.R. Calhoun, M.D.*, E.E. Terry, M.D., E.B. Best, M.D., T.R. Sunbury, M.D.

From the Departments of Cardiovascular Surgery, Cardiology, Radiology, and Pathology, Scott and White Clinic, Temple, TX

Accepted for publication September 29, 1980.

* Address reprint requests to Dr. Calhoun, 8849 Long Point, Suite 5, Houston, TX 77055

Early interest in myocardial tumors was directed primarily at their pathology. Today, however, interest must be in early diagnosis and planned operation utilizing cardiopulmonary bypass since such tumors, both benign and malignant, are potentially lethal due to their location and since most are resectable. The case of a patient with myocardial fibroma presented here offers an expanded pathological picture: the tumor contained fibrous tissue, cardiac muscle, vascular elements, adipose tissue, and smooth muscle. Smooth muscle has not been previously reported. A review of the literature reveals disagreement and confusion over proper nomenclature for the entity. Perhaps its varied histological presentation is better described as fibrous hamartoma than fibroma.






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