Primary cardiac lymphoma complicated with inferior vena cava thrombosis: a case report.
Primary cardiac lymphoma (PCL) is a rare and often fatal malignancy with varying clinical presentations. Diagnosis is usually late and prognosis poor. In this report, we report the case of a 54-year-old man with primary cardiac lymphoma who presented with progressive abdominal distension and oedema of the lower extremities. Magnetic resonance imaging (MRI) revealed a large mass in the right atrium, complicated with thrombus in the inferior vena cava. Emergency surgery because of life-threatening right heart failure was performed soon after admission. The post-operative histological study confirmed the diagnosis of B cell lymphoma. Post-operatively the patient received CHOP chemotherapy. During a 3-year follow-up, the victim remained free from recurrence.
Chen
Xinzhong
X
Dept. of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. xinzhongchen@yahoo.com.cn
Sun
Zongquan
Z
Dong
Nianguo
N
Xia
Jiahong
J
Liu
Yi
Y
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D003520:Cyclophosphamide / Q000627:therapeutic use; D004317:Doxorubicin / Q000627:therapeutic use; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D008223:Lymphoma / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011241:Prednisone / Q000627:therapeutic use; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014750:Vincristine / Q000627:therapeutic use
D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide; D011241:Prednisone