
==== Front
Int J Hematol Oncol Stem Cell Res
Int J Hematol Oncol Stem Cell Res
IJHOSCR
International Journal of Hematology-Oncology and Stem Cell Research
2008-3009
2008-2207
Tehran University of Medical Sciences, Hematology-Oncology and Stem Cell Transplantation Research Center Tehran, Iran

10.18502/ijhoscr.v18i3.16113
IJHOSCR-18-311
Editorial
Relationship between Breast Cancer and Cardiac Myxoma
Hürsoy Nur 1
Solak Merve 1
Nak Demet 2
1 Department of Radiology, Recep Tayyip Erdogan University, Rize, Turkey
2 Department of Nuclear Medicine, Recep Tayyip Erdogan University, Rize, Turkey
Corresponding Author: Nur Hürsoy, Department of Radiology, Recep Tayyip Erdogan University, Rize, Turkey.E-mail: nurhursoy@gmail.com
1 7 2024
18 3 311312
10 3 2024
18 5 2024
Copyright © 2024 Tehran University of Medical Sciences.
https://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International license (https://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
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pmcEditorial

Breast carcinoma is the most prevalent malignancy among women worldwide with over 2.3 million cases in 20201. In these patients, additional imaging is often required to screen for metastases.

Atrial myxoma, similar to breast cancer, is frequently seen in young and middle-aged female patients. It is often diagnosed incidentally through radiologic imaging, as it can be asymptomatic 2. Although the heart is included in the image on Thoracic Computed Tomography (CT) and Breast Magnetic Resonance Imaging (MRI), radiologists may not evaluate it in detail.

Alizadehasl A and Rahbar Z recommendations for screening echocardiography (Echo) are quite necessary, but this examination may not be sufficient in all cases3. In our department, we have detected a cardiac mass at left atrium on Thorax CT and Breast MRI of a patient who has breast carcinoma (Figures 1,2). There is no finding about this mass on Echo.

Figure 1 A hypodense mass was detected on contrast-enhanced Thorax CT as a filling defect (red arrow). Sagittal and axial images are seen.

Figure 2 The round mass (red circle) at the left atrium was investigated on early phase of dynamic contrast enhanced Breast MRI.

In all whole-body, F18-fluorodeoxyglucose (FDG) PET/CT images taken for staging of the patient's breast cancer, FDG uptake in the soft tissue, which was evaluated to be consistent with cardiac myxoma in other imaging studies, was observed at a level similar to mediastinal blood pool activity (Figure 3).

Figure 3 In the area corresponding to the lesion consistent with myxoma observed in the correlative CT component of hybrid imaging (1), FDG uptake at a level similar to blood pool activity was observed in the F18-FDG fusion images (b)

It is essential to investigate the link between atrial myxoma and breast cancer in adult patients without the Carney complex, as the frequency of this association will influence the approach of all units dealing with breast cancer.
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References

1 Available from:https://www.who.int/news-room/fact-sheets/detail/breast-cancer
2 Tetera W Wilk A Król W Braksator W Asymptomatic Left Atrial Myxoma J Cardiovasc Echogr 2022 32 2 116 118 36249436
3 Alizadehasl A Rahbar Z Relationship between Breast Cancer and Cardiac. Myxoma Int J Hematol Oncol Stem Cell Res 2021 15 2 75 76 34466205
