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[A case of Carney complex]

K Scherer1, T Müller, W Stolz

  • 1Klinik und Poliklinik für Innere Medizin II, Klinikums der Universität Regensburg.

Deutsche Medizinische Wochenschrift (1946)
|September 18, 1998
PubMed
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This case highlights Carney Complex, a genetic syndrome. Atrial myxomas in a patient with freckles and skin tumors signaled the need for further investigation into this rare condition.

Area of Science:

  • Cardiology
  • Genetics
  • Oncology

Background:

  • Carney Complex is an autosomal dominant syndrome.
  • It is characterized by myxomas, lentigines, and endocrine tumors.
  • Early diagnosis is crucial for management and genetic counseling.

Observation:

  • A 57-year-old woman presented with shortness of breath, vertigo, and syncope.
  • Physical examination revealed facial freckles, cutaneous myxomas, and cardiac murmurs.
  • Imaging identified left atrial tumors and abdominal masses.

Findings:

  • Cardiac surgery revealed and resected four benign myxomas from the left atrium.
  • Histopathology confirmed atrial myxomas.
  • Abdominal computed tomography showed additional myxoid tumors.

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Implications:

  • Atrial myxomas can be a primary indicator of Carney Complex.
  • The presence of cutaneous findings necessitates a search for systemic tumors.
  • Genetic counseling is recommended for patients and families due to the autosomal dominant inheritance pattern.