PMID: 9160076May 1, 1997Paper

Primary cardiac lymphoma: initial symptoms suggestive of gastrointestinal disease

Southern Medical Journal
I A Nakchbandi, H J Day

Abstract

We report a case of primary cardiac lymphoma in a patient who was not infected with human immunodeficiency virus and had symptoms suggestive of upper gastrointestinal (GI) disease. Examination revealed no GI abnormalities. Echocardiography, prompted by sudden development of congestive heart failure, revealed a large right atrial mass. Cardiac biopsy followed by staging evaluation indicated primary cardiac non-Hodgkin's lymphoma. After chemotherapy was begun, the tumor shrunk and GI symptoms resolved, suggesting an etiologic relationship by a referred pain mechanism. Unusual features of our case include the initial predominance of GI symptoms and the circumstances that led to diagnosis antemortem. The case also underscores the importance of considering intrathoracic disease in patients with upper abdominal symptomatology.

Citations

Jun 8, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·D JurkovichH Garcia
Aug 28, 2007·The American Journal of Surgical Pathology·Alessandra F NascimentoGeraldine S Pinkus
Nov 11, 1999·Radiographics : a Review Publication of the Radiological Society of North America, Inc·P A AraozJ F Breen
May 13, 2006·Journal of the Chinese Medical Association : JCMA·Shu-Ching HsuehHsu-Feng Lu
Aug 14, 2010·Radiologic Clinics of North America·Nandan S AnavekarPhilip A Araoz
Mar 17, 2010·International Journal of Cardiology·Carlos E Miguel, Reinaldo B Bestetti
Mar 3, 2004·Pathology International·Hiroshi IkedaGen Itoh
Jul 19, 2021·Annales de cardiologie et d'angéiologie·I TaziF Z Lahlimi

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