Primary Cardiac Lymphoma: A Lesson Learned from an Unsuccessful Experience

Internal Medicine
Izumi ItoYoshinori Doi

Abstract

A 79-year-old man was admitted because of complete heart block. Echocardiograms showed an abnormal mass adjacent to the sinus of Valsalva. Subsequent surgical resection was not successful. Despite chemotherapy, the patient died from multiple organ failure. It is important to recognize that approximately 80% of cases of cardiac lymphoma are diffuse large B-cell lymphoma, which is the only malignant neoplasm that may respond well to chemotherapy with rituximab. In order to save patients' lives, the early implementation of chemotherapy with rituximab is critical and should be considered as a therapeutic diagnostic option in select patients.

References

Mar 22, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·C ChilesK M Link
Jan 28, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Yukinori NakagawaKazuyuki Shimada
Mar 3, 2004·Pathology International·Hiroshi IkedaGen Itoh
Nov 17, 2009·Clinical Radiology·E T D HoeyM U Sivananthan
Jun 5, 2014·Clinical Cardiology·Ivana BurazorYehuda Adler

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Methods Mentioned

BETA
surgical resection
biopsy

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