Non-Hodgkin's lymphoma: an unusual cause of myocardial infarction and hypercalcaemia.
Cardiac involvement is reported in 10%-20% of patients with lymphoma, but it is characteristically difficult to detect clinically or by investigation. Hypercalcaemia is a rare complication. Both complications usually occur late in the natural history of lymphoma. We report a case of non-Hodgkin's lymphoma, who, within 2 weeks of presentation, developed symptomatic hypercalcaemia and, 3 days later, died of an acute myocardial infarction. Autopsy showed, unexpectedly, the unusual finding of coronary artery compression by lymphomatous deposits.
Harris
S
S
Department of Radiotherapy and Oncology, Poole Hospital, Dorset, UK.
Waddell
J
J
D000368:Aged; D001984:Bronchial Neoplasms / Q000473:pathology; D005260:Female; D006338:Heart Neoplasms / Q000556:secondary; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology*; D008228:Lymphoma, Non-Hodgkin / Q000150:complications* / Q000473:pathology; D009203:Myocardial Infarction / Q000209:etiology* / Q000473:pathology; D009206:Myocardium / Q000473:pathology