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Usmle
Cod. A01112007
United State Medical Licensing Examination
Autopsy of a 70-year-old woman reveals a papillary growth within the left ventricular chamber. The growth consists of a small mass of finger-like projections attached to the mitral valve, without associated valvular or other cardiac abnormalities. Histologically, each papillary structure is composed of a core of fibrous tissue lined by thickened endothelium. The patient did not have any history of cardiac disease or evidence of thromboembolism.
Which of the following is the most likely diagnosis?
A. Acute mural thrombus
B. Cardiac myxoma
C. Infective endocarditis
D. Nonbacterial thrombotic endocarditis
E. Papillary fibroelastoma
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