A case of primary cardiac lymphoma: in vivo imaging and pathologic correlation

Yoshihara, Shu; Naito, Masaaki; Tanioka, Fumihiko; Matsunaga, Masaki

doi:10.1093/ehjci/jet051

Cited by 4 publications

(2 citation statements)

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“…Transoesophageal echocardiography (TEE), CT, and magnetic resonance imaging (MRI) are very useful in the identification of location, size, and extension of the lesion. However, FDG PET-CT has emerged as a better tool as it has the ability to localise the lesion, identify the metabolism of the tumour, and help in the staging and prognosis of PCL [ 17 , 18 ]. This was the main imaging technique which helped in unveiling the lymphoma mass arising from the pericardium and infiltrating into the atrium in our case.…”

Section: Discussionmentioning

confidence: 99%

Constrictive Pericarditis–A Cloak Camouflaging Lymphoma

et al. 2023

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Non-Hodgkin’s lymphoma presenting as a primary cardiac lymphoma (PCL) is extremely unusual. Having a predilection for the right side of the heart and accounting for 1% of all cardiac tumours, the difficulty in diagnosing the lesion, owing to the location and vague presenting symptoms and signs, often leads to delayed diagnosis and poor prognosis. In our case report, a middle-aged male was diagnosed with PCL presenting as pyrexia of unknown origin with the help of F18-fluorodeoxyglucose positron emission tomography (18 FDG-PET). PET-CT is an invaluable tool in patients with pyrexia of unknown origin (PUO), especially caused by neoplasms as it helps in localizing the target lesion, aiding in selecting the appropriate intervention for rapid tissue diagnosis. This case serves to sensitize the physicians of PCL presenting with PUO and mimicking a relatively common cardiac tumour such as atrial myxoma.

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Section: Discussionmentioning

confidence: 99%

Constrictive Pericarditis–A Cloak Camouflaging Lymphoma

et al. 2023

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“…CT and MRI not only allow the diagnosis of polypoid, ill-defined, infiltrating tumors, but also provide information about the type of tumor. The use of PET-CT not only displays the proliferation and metabolism of the tumor more effectively, but also indicates the staging, curative effect, and prognosis of cardiac lymphoma more accurately [Minamimoto 2011;Yoshihara 2013;Fukunaga 2018]. The lymphoma cells may be found through pericardiocentesis or chest drainage in patients with pericardial or pleural effusion.…”

Section: Discussionmentioning

confidence: 99%

Primary Lymphoma of the Heart: A Case Report of Surgical Treatment and Review of the Literature

Liu¹,

Ren²,

Wang³

2019

HSF

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Background: The incidence of heart tumors is the lowest in all known tumors. Primary cardiac tumors are especially rare, with an incidence of 0.056% according to autopsy reports. The most common type is myxoma, which account for nearly 70%-80% of them. Only 10% of primary cardiac tumors are malignant, approximately 95% of which are sarcomas, whereas the primary cardiac lymphomas (PCLs) are merely 1%. Case Presentation: The present study reported a case of PCL with bilateral renal involvement. The patient received right atrial tumor excision and cardiac pacemaker implantation because of obstruction of the right ventricular outflow tract and third degree atrioventricular (AV) block. Primary diffuse large B-cell lymphoma (DLBCL) was diagnosed through pathological examination; complete remission (CR) was achieved after timely treatment with chemotherapy and autologous peripheral blood stem cell transplantation. Conclusions: PCL is a very rare disease with highly malignancy. With nonspecific clinical features, the diagnosis is mainly done by histopathological and immunohistochemical staining. At the moment, the most effective treatment is chemotherapy. Palliative surgery may be necessary to correct hemodynamics when outflow is obstructed. The specific location, size, and proximity of the tumor 1ead to the prognosis. Once the cardiac conduction system was involved, electrocardiography (ECG) showed high AV block.

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