A Case of Secondary Myocardial Lymphoma Presenting with Ventricular Tachycardia.
10.3346/jkms.2002.17.4.549
- Author:
Jeong Gwan CHO
1
;
Young Keun AHN
;
Sang Hee CHO
;
Je Jung LEE
;
Ik Joo CHUNG
;
Moo Rim PARK
;
Hyeoung Joon KIM
;
Myung Ho JEONG
;
Jong Chun PARK
;
Jung Chaee KANG
Author Information
1. Division of Cardiology and Hematology, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, Korea. chojg@unitel.co.kr
- Publication Type:Case Reports
- Keywords:
Lymphoma;
Malignant;
Tachycardia;
Ventricular
- MeSH:
Abdominal Neoplasms/secondary;
Adult;
Biopsy, Needle;
Bundle-Branch Block;
Echocardiography;
Electrocardiography;
Female;
Heart Neoplasms/*pathology;
Humans;
Lymphoma, Non-Hodgkin/*complications/diagnosis/*pathology;
Myocardium/*pathology;
Tachycardia, Ventricular/*etiology/physiopathology
- From:Journal of Korean Medical Science
2002;17(4):549-551
- CountryRepublic of Korea
- Language:English
-
Abstract:
Malignant lymphoma can involve the cardiac cavity or myocardium as a mass. Clinical symptoms of its cardiac involvement are usually absent or nonspecific, making the diagnosis of the cardiac involvement very difficult before death. We experienced a patient with secondary myocardial non-Hodgkin's lymphoma presenting with sustained ventricular tachycardia (VT) as a primary clinical problem. A 39-yr-old woman visited our hospital because of dyspnea and palpitation for 7 days. Physical examination revealed rapid heart beat with variable intensity of the first heart sound and soft mass in the lower abdomen. VT with a cycle length of 480 msec was recorded in resting 12-lead electrocardiogram. Two well-circumscribed hypo-echogenic round masses were demonstrated in the interventricular septum and left ventricular posterior wall. Cytological examination of aspirated pericardial fluid and percutaneous needle biopsy of the abdominal mass revealed a diffuse large cell type non-Hodgkin's lymphoma. Myocardial masses and ventricular tachycardia resolved with chemotherapy using cyclophosphamide, adriamycin, vincristine and prednisone regimen. To our best knowledge, the same case as ours has not been reported previously.
