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Updated: Aug 10, 2026

Simultaneous Isolation and Culture of Atrial Myocytes, Ventricular Myocytes, and Non-Myocytes from an Adult Mouse Heart
Published on: June 14, 2020
[Glandular myxoma of the heart]
Insights
This study investigated a left atrial myxoma with glandular structures. Findings suggest these glands are mucin-secreting epithelial cells, offering insights into myxoma histogenesis.
Area of Science:
- Cardiovascular Pathology
- Surgical Pathology
- Histology
Background:
- Cardiac myxomas are primary tumors of the heart, typically located in the left atrium.
- The histogenesis of cardiac myxomas remains incompletely understood, with various theories proposed.
- Glandular differentiation within myxomas is an uncommon but recognized phenomenon.
Observation:
- Microscopic examination revealed glandular lumina lined by cylindric epithelium within the myxoid stroma.
- These glands contained periodic acid-Schiff (PAS) positive mucin.
- Immunohistochemical analysis showed positivity for cytokeratins (CK), epithelial membrane antigen (EMA), and carcinoembryonic antigen (CEA).
Findings:
- The glandular structures exhibited features consistent with mucin-secreting epithelium.
- Stromal cells tested positive for vimentin and Factor VIII-related antigen (FVIII. Ag).
- Ultrastructural analysis confirmed the epithelial nature and mucin-secreting capacity of the glandular components.
Implications:
- The presence of mucin-secreting glands provides further evidence for diverse cellular origins or differentiation pathways in cardiac myxomas.
- Understanding these glandular components may refine diagnostic criteria and contribute to elucidating myxoma histogenesis.
- This detailed characterization aids in differentiating myxomas from other cardiac neoplasms.
Abstract:
Light microscopic, immunohistochemical and ultrastructural studies were performed on a surgically removed left atrial myxoma containing glandular structures. Routine examination showed glandular lumina lined by cylindric epithelium in the characteristic myoxoid stroma, and the glands contained PAS positive mucin. The glandular structures demonstrated significant positivity for wide-spectrum-CK, EMA, and moderate positivity for CEA. Stromal cells were positive for vimentin, FVIII. Ag was present only in surface cells and blood vessels. Ultrastructurally the gland showed characteristics of mucin secreting epithelium. The authors briefly overview the currently existing theories about the histogenesis of myxomas.
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