10th May 2025

Mr Owusu, a 53-year-old university professor, presents to the same-day emergency clinic following a GP referral.

Mr Owusu, a 53-year-old university professor, presents to the same-day emergency clinic following a GP referral. He reports episodes of dizziness, palpitations and shortness of breath on exertion. On systems review, he also notes 3 months of unintentional weight loss, which he puts down to poor appetite. He was recently diagnosed with pre-diabetes and is an ex-smoker of many years.

He is admitted and an echocardiogram performed which shows a left atrial mass, consistent with a cardiac myxoma and he is urgently transferred to a tertiary centre of possible surgical management. 

Which histological feature is more commonly associated with myxomas?

Select the SINGLE most appropriate option from the list below. Select ONE option only.