title: A rare case of classical Hodgkin's lymphoma in the setting of a newly diagnosed left atrial myxoma.
abstract: We report a rare case of left atrial myxoma with concomitant classical Hodgkin's lymphoma in a 36-year-old woman with a non-significant medical history and 4 months of progressively worsening palpitations, dyspnoea on exertion, chest discomfort and fatigue. Outpatient echocardiography revealed functional mitral valve stenosis as a result of a large left atrial cardiac mass. Preoperative thoracic imaging revealed an anterior mediastinal mass with associated lymphadenopathy. The patient underwent successful resection of the anterior mediastinal mass and left atrial mass. Surgical pathology revealed myxoma in the left atrium and classical Hodgkin's lymphoma in the anterior mediastinum. Thus the patient was diagnosed with early-stage classical Hodgkin's lymphoma. This clinical vignette emphasises the importance of a comprehensive diagnostic evaluation in the setting of a newly discovered atrial tumour.
authors.affiliation: Department of Internal Medicine, University of Florida, Gainesville, Florida, USA.
authors.forename: Alexander Javier
authors.initials: AJ
authors.lastname: Bolanos
authors.affiliation: Department of Cardiovascular Medicine, University of Florida, Gainesville, Florida, USA.
authors.forename: George
authors.initials: G
authors.lastname: Dibu
authors.affiliation: Department of Cardiovascular Medicine, University of Florida, Gainesville, Florida, USA.
authors.forename: Floyd W
authors.initials: FW
authors.lastname: Burke
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Department of Surgery at the University of Florida.
authors.forename: Charles T
authors.initials: CT
authors.lastname: Klodell
authors.affiliation: Department of Pathology at the University of Florida.
authors.forename: Ying
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Pathology at the University of Florida.
authors.forename: Kenneth H
authors.initials: KH
authors.lastname: Rand
authors.affiliation: Department of Cardiovascular Medicine, University of Florida, Gainesville, Florida, USA.
authors.forename: Alexandra Rose
authors.initials: AR
authors.lastname: Lucas
mesh_terms: D000328:Adult; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000601:surgery; D006689:Hodgkin Disease / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D009232:Myxoma / Q000175:diagnosis* / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000628:therapy