Primary cardiac lymphoma diagnosed by percutaneous needle biopsy

Nakata, Akio; Hirota, Satoshi; Takazakura, Eisuke

doi:10.1016/s0167-5273(98)00104-1

Cited by 18 publications

(15 citation statements)

References 3 publications

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“…The pathology can be established by transvenous [23][24][25] or transthoracic biopsy with ultrasound guidance [26], especially with right heart tumours. Echo guided transvenous tumour biopsy can be complicated by tumour embolism.…”

Section: Lymphomamentioning

confidence: 99%

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Primary cardiac sarcoma

Shanmugam¹

2006

European Journal of Cardio-Thoracic Surgery

131

157

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Primary malignant lesions of the heart are rare. Although myxomas have been extensively described, there is a paucity of large studies on non-myxomatous cardiac tumours. On the other hand, there are several case reports on specific histopathological variants, in small numbers. Consequently there exists no consensus on therapeutic modalities for cardiac sarcomas. The prognosis for these lesions remains dismal, despite the enhanced diagnostic ability of newer technology. The reasons for the dismal prognosis are (1) the advanced tumour stage at presentation, (2) non-specific symptomatolgy, (3) insufficient awareness of these lesions, due to their rarity, (4) delayed diagnosis and/or misdiagnosis, which leads to (5) advanced tumour stage at presentation. Thus a vicious cycle is created. This article addresses these issues, deals with the surgically relevant modes of presentation, rather than the histopathology, and reviews the diagnosis and management options for the various sarcomas, categorized by the site and extent of cardiac involvement. Clinicians should be familiar with the presentation of these tumours and have a high index of suspicion, since the potential for long-term survival following resection does exist. Wide surgical resection remains the cornerstone of sarcoma therapy. Complete characterization of tumour extent using echocardiography and CT/MRI is mandatory to achieve this goal. Radical resections such as 'bench surgery' and transplantation may reduce local recurrence, but the risk of metastatic disease remains. The clinical experience with such approaches is limited. The role of adjuvant therapy is not yet established. In no other field of cardiac surgery would a multidisciplinary approach be more useful, in achieving cure or long-term palliation.

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Section: Lymphomamentioning

confidence: 99%

“…With USguided transthoracic needle biopsy, the rate of misdiagnosis is lower, but this technique is restricted to right ventricular free wall lesions. Complications described are cardiac perforation, tamponade, and coronary artery injury [26].…”

Section: Lymphomamentioning

confidence: 99%

Primary cardiac sarcoma

Shanmugam¹

2006

European Journal of Cardio-Thoracic Surgery

131

157

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“…Patients can be asymptomatic or present with symptoms related to tumor extension and/or embolus (obstruction, arrhythmia, pulmonary or systemic embolism, conduction disturbances, fever, weight loss, and cardiac tamponade). 2,3 Some patients present with chest pain. Reported cases of tumoral pulmonary embolism, as in the present case, are extremely rare.…”

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confidence: 99%

“…6 Computed tomography and magnetic resonance imaging allow not only the diagnosis of polypoid, ill-defined, infiltrating masses but also provide information about the type of tumor (eg, vascularization, necrosis). [1][2][3] Although imaging techniques are of great value, the best tool for a diagnosis with certainty remains anatomopathological (cytology of pericardial fluid or transvenous biopsy of the mass). Transvenous biopsy is a controversial procedure because of the risk of pulmonary embolism.…”

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confidence: 99%

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Primary Cardiac Lymphoma

et al. 2010

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Primary cardiac T-cell lymphoma

et al. 2004

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Primary cardiac lymphoma (PCL), defined as a lymphoma clinically mimicking cardiac disease, with the bulk of the tumor located intrapericardially, is extremely rare in immunocompetent patients. Clinical manifestations vary depending on sites of involvement in the heart and include chest pain, arrhythmias, pericardial effusion, and heart failure. Diagnosis is often difficult and may require invasive procedures; in some cases, diagnosis is not made until autopsy. Histologically, nearly all cases of PCL reported thus far have been of B-cell origin. In this report, we describe a case of PCL of T-cell origin in an adult immunocompetent patient, the second reported in the literature to the best of our knowledge, and provide a brief overview of the features of previously published PCL cases.

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Primary cardiac lymphoma diagnosed by percutaneous needle biopsy

Cited by 18 publications

References 3 publications

Primary cardiac sarcoma

Primary cardiac sarcoma

Primary Cardiac Lymphoma

Primary cardiac T-cell lymphoma

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