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pubmed-article:9024908pubmed:abstractTextTen archive cases of cardiac myxoma were evaluated for proliferative activity, metastatic potential and expression of oncogene/tumor suppressor gene products by means of PCNA, MIB1, nm23, p53, Bcl-2 and Rb-1 immunohistochemistry. The myxomas showed variable proliferative activity (PCNA 0-41%, average 12.6%, MIB1 0-13%, average 3.2%) contrasting with the absence of mitotic activity histologically. All the myxomas showed nm23 staining. None showed p53 reactivity. Eight cases were negative for Bcl-2 expression, with two cases giving weak cytoplasmic staining. Rb-1 reactivity showed a variable pattern (staining indices 0-86%) paralleling the cases' proliferative activity. The cardiac myxoma is interpreted as a weakly proliferative lesion with little metastatic potential and no modulation of oncogene/oncogene suppressor products. Whilst not excluding a neoplastic aetiology, the results are considered more in keeping with a reactive/hamartomatous process.lld:pubmed
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pubmed-article:9024908pubmed:dateRevised2007-11-15lld:pubmed
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pubmed-article:9024908pubmed:articleTitleThe nature of the cardiac myxoma.lld:pubmed
pubmed-article:9024908pubmed:affiliationDepartment of Histopathology, Northern General Hospital, Sheffield, UK.lld:pubmed
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pubmed-article:9024908pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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