Abstract
We report the case of a large left atrial myxoma with no serious complications detected coincidentally during upper gastrointestinal tract radiography, which was conducted in a routine health check-up.
The patient was a 50-year-old woman who had been suffering from fatigability, sense of malaise, and precordial discomfort over the previous 4 years. During the preceding two years, she had a persistent sensation of food being lodged in her throat, which she ignored since the symptom did not hinder her everyday life. Upper gastrointestinal tract radiography performed as an option in a regular health check-up revealed a mass that was greatly displacing the lower esophagus. Further evaluation indicated the presence of a large, neoplastic lesion with severe calcification in the left atrium. She subsequently underwent surgery. The tumor was a wide-base sessile myxoma in the atrial septum that measured 9 cm in diameter.
There is a distinct possibility of rare diseases being detected during a routine health check-up. Therefore, it is important to be careful and observant while conducting the medical examinations.