Primary Non-Hodgkin's Lymphoma in Right Ventricle with Right Atrial Invasion: Report of 1 case.
- Author:
Ki Sung PARK
1
;
Wook Su AHN
;
Sub LEE
;
Oh Choon KWON
;
Moo Sung KO
;
Sang Hoon JHEON
Author Information
1. Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea. wsahn@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Heart neoplasms;
Lymphoma;
Biopsy
- MeSH:
Arrhythmias, Cardiac;
Biopsy;
Cardiac Tamponade;
Diagnosis;
Drug Therapy;
Early Diagnosis;
Follow-Up Studies;
Heart;
Heart Failure;
Heart Neoplasms;
Heart Ventricles*;
Humans;
Lymphoma;
Lymphoma, Non-Hodgkin*;
Magnetic Resonance Imaging;
Pericardial Effusion;
Pericardium;
Prognosis;
Radiotherapy;
Tomography, X-Ray Computed
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2004;37(4):376-381
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary cardiac lymphoma is an extranodal malignant lymphoma of any cell type involving only heart and pericardium without dissemination. Patients usually present symptoms of heart failure, arrhythmias, pericardial effusion and cardiac tamponade. Diagnosis of primary cardiac lymphoma can be performed by echocardiogram, CT and MRI and cytologic examination of pericardial effusion or transvenously biopsied cardiac tissue. Prognosis of primary cardiac lymphoma is poor. Because of poor prognosis, early diagnosis and complete surgical excision is essential and postoperative systemic chemotherapy or radiotherapy is useful. In this case extensive tumor infiltration on the right ventricle and atrioventricular groove preclude surgical excision. Tissue biopsy revealed primary cardiac lymphoma. After postoperative chemotherapy and radiotherapy, the size of intracardiac mass is decreased in follow up chest CT scan and echocardiogram and symptoms of patient are relieved. Therefore, we report a case of primary cardiac lymphoma with review of literatures.