2019, Number 4
<< Back Next >>
CorSalud 2019; 11 (4)
Primary pericardial lymphoma with hemodynamic disorder apropos of a case
Martínez GG, Chipi RY, Carrero VAM, González MY, Reynosa PN, Martínez PRM, Rodríguez PL, Ledesma DA, Martínez GA
Language: Spanish
References: 10
Page: 337-341
PDF size: 549.53 Kb.
ABSTRACT
Primary cardiac lymphoma is an extremely rare and fatal entity of the heart. It is defined as a lymphoma that compromises the heart as well as the pericardium. It has a poor prognosis because of the difficulty in its diagnosis, due to the inaccessibility of its location. Here is presented the case of an 84-year-old man with healthy history that came to our hospital with symptoms and signs of heart failure. The first suspicion was dilated cardiomyopathy, but in the transthoracic echocardiography was observed a large pericardial effusion with a mass attached to the side wall of the right chambers, without chamber dilation. A pericardial window was performed to drain the effusion, without being able to study the extracted fluid. Finally, a magnetic resonance imaging was performed resulting in a cardiac lymphoma diagnosis, that, taking into account the absence of other changes in the rest of the body, was defined as primary. No histological diagnosis could be developed due to refusal of the patient and his relatives.
REFERENCES
Li S, Desai P, Lin P, Yin CC, Tang G, Wang XJ, et al. MYC/BCL6 double-hit lymphoma (DHL): a tu-mor associated with an aggressive clinical course and poor prognosis. Histopathology. 2016;68(7): 1090-8.
Gordon MJ, Danilova O, Spurgeon S, Danilov AV. Cardiac non-Hodgkin’s lymphoma: clinical char-acteristics and trends in survival. Eur J Haematol. 2016;97(5):445-52.
Petrich A, Cho SI, Billett H. Primary cardiac lym-phoma: an analysis of presentation, treatment, and outcome patterns. Cancer. 2011;117(3):581-9.
Habertheuer A, Ehrlich M, Wiedemann D, Mora B, Rath C, Kocher A. A rare case of primary car-diac B cell lymphoma. J Cardiothorac Surg [In-ternet]. 2014 [citado 14 Ene 2019];9:14. Disponible en: https://cardiothoracicsurgery.biomedcentral.com/track/pdf/10.1186/1749-8090-9-14
Miguel CE, Bestetti RB. Primary cardiac lympho-ma. Int J Cardiol. 2011;149(3):358-63.
Kawamura T, Sakaguchi T, Nishi H, Miyagawa S, Yoshikawa Y, Yamauchi T, et al. Successful treat-ment of a large primary cardiac lymphoma by surgical resection combined with chemotherapy: report of a case. Surg Today. 2013;43(9):1066-70.
Li B, Li Q, Nie W, Liu S. Diagnostic value of whole-body diffusion-weighted magnetic resonance im-aging for detection of primary and metastatic ma-lignancies: a meta-analysis. Eur J Radiol. 2014; 83(2):338-44.
Zhu D, Yin S, Cheng W, Luo Y, Yang D, Lin K, et al. Cardiac MRI-based multi-modality imaging in clinical decision-making: Preliminary assessment of a management algorithm for patients with sus-pected cardiac mass. Int J Cardiol. 2016;203:474-81.
Nensa F, Tezgah E, Poeppel TD, Jensen CJ, Schel-horn J, Köhler J, et al. Integrated 18F-FDG PET/ MR imaging in the assessment of cardiac masses: a pilot study. J Nucl Med. 2015;56(2):255-60.
Fathala A, Abouzied M, AlSugair AA. Cardiac and pericardial tumors: A potential application of pos-itron emission tomography-magnetic resonance imaging. World J Cardiol. 2017;9(7):600-8.
Full text