[Primary cardiac lymphoma].
Primary cardiac non-Hodgkin lymphoma is very rare. Results recently published suggest that the prognosis is good, if the lymphoma is diagnosed early. The symptoms are nevertheless unspecific and a clinical investigation is often inconclusive. We report a case of a woman with symptoms of severe dyspnoea at rest, chest pain, and fatigue. The ECG showed a complete atrioventricular block. Magnetic resonance imaging (MRI) revealed a tumour in the right atrium and ventricle. A myocardial biopsy showed malignant non-Hodgkin lymphoma of the diffuse, large cell B-type. The patient was treated with chemotherapy and control MRI after four treatments showed complete regression of the tumour.
H:S Rigshospitalet, Hjertecentret, medicinsk kardiologisk afdeling B, og Finsencentret, medicinsk haematologisk afdeling L. ckss@dadlnet.dk
C B
CB
Kragelund
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L
Søndergaard
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Bjerrum
D000970:Antineoplastic Agents / Q000008:administration & dosage; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D008279:Magnetic Resonance Imaging; D009206:Myocardium / Q000473:pathology; D011379:Prognosis
D000970:Antineoplastic Agents