title: [Primary cardiac lymphoma: diagnosis by transjugular biopsy].
abstract: Primary cardiac lymphoma, defined as a non-Hodgkin's lymphoma involving only the heart and pericardium, is an extremely rare malignancy. It should be suspected in patients with a heart mass and heart failure, unexplained refractory pericardial effusion or rhythm disturbances. Transvenous intracardiac tumor biopsy under fluoroscopic or transesophageal echocardiographic guidance, is a minimally invasive technique which makes definite diagnosis possible. We describe a patient in whom primary cardiac lymphoma was diagnosed by this technique. He also underwent percutaneous balloon pericardiotomy because of severe refractory pericardial effusion. Seven months after diagnosis and treatment with standard chemotherapy, the patient remained free of disease.
authors: Unidad de Hemodinámica y Cardiología Intervencionista. Hospital 12 de Octubre. Madrid. Spain. angelaflox@terra.es
authors: Angela
authors: A
authors: Flox Camacho
authors: Felipe
authors: F
authors: Hernández Hernández
authors: Rafael
authors: R
authors: Salguero Bodes
authors: Ignacio
authors: I
authors: Sánchez Pérez
authors: Amparo
authors: A
authors: Carbonell Porras
authors: Juan
authors: J
authors: Tascón Pérez
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001707:Biopsy, Needle; D003520:Cyclophosphamide / Q000627:therapeutic use; D004317:Doxorubicin / Q000627:therapeutic use; D015150:Echocardiography, Doppler; D005471:Fluoroscopy; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000473:pathology; D008223:Lymphoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D010492:Pericardiectomy; D011241:Prednisone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014750:Vincristine / Q000627:therapeutic use
chemical_list: D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide; D011241:Prednisone