Unusual presentation of primary cardiac lymphoma.
Cardiac lymphomas are rare neoplasms and account for a minor proportion of primary cardiac malignancies. Secondary involvement of the heart and pericardium by systemic lymphoma is well documented, but primary lymphomas of heart and pericardium are extremely rare, accounting for approximately 2% of all primary cardiac tumours. Most cases are diagnosed at autopsy, but nowadays, with modern imaging technologies, early diagnosis and treatment is possible. Here, we present two unique incidental presentations of primary cardiac lymphomas (PCL), one in an atrial myxoma and other involving a valvular homograft and discuss the potential pitfalls and prognosis of this rare entity.
Department of Histopathology, The Royal Brompton Hospital, London, UK. izhardrster@gmail.com
Izhar N
IN
Bagwan
Saral
S
Desai
Andrew
A
Wotherspoon
Mary N
MN
Sheppard
D000369:Aged, 80 and over; D000971:Antineoplastic Combined Chemotherapy Protocols; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D017024:Chemotherapy, Adjuvant; D017809:Fatal Outcome; D005260:Female; D006338:Heart Neoplasms / Q000150:complications / Q000473:pathology* / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D033162:Incidental Findings; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications / Q000473:pathology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000150:complications / Q000473:pathology* / Q000628:therapy; D009367:Neoplasm Staging; D012086:Reoperation; D016896:Treatment Outcome