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<p>Cardiac myxoma with glandular elements is extremely rare cardiac myxomas that show glandular differentiation, the pathogenesis of which is unknown. The present case study reports a case of glandular cardiac myxoma. A 21-years-old female presented with left atrial mass which was surgically resected and sent for histopathological examination. Microscopically, there were well formed mucinous glands in a background of cardiac myxoma and hence cardiac myxoma with glandular elements was confirmed. Though rare, it should always be differentiated from metastatic adenocarcinoma. </p>