title: Secondary intracardiac Burkitt-like lymphoma in the absence of HIV infection.
abstract: Malignant lymphoma can involve the cardiac cavity or myocardium as a mass. Since clinical symptoms of its cardiac involvement are usually absent or non-specific, they may be undetected during life. Burkitt-like lymphoma (BLL) is a highly aggressive B-cell lymphoma with a high proliferative rate. Histopathological characteristics are considered borderline between those of classic Burkitt lymphoma and diffuse large B-cell lymphoma. Extensive cardiac involvement of BLL is rare and poorly documented in the literature. We report the case of a child with BLL, presenting with extensive infiltration of the heart in the absence of HIV infection, and with right-sided heart failure and positional dyspnoea as the major clinical problems. We highlight the challenges for diagnosis and adequate treatment in poor settings like ours.
authors.affiliation: Instituto do Coração, Maputo, Mozambique. amocumbi@yahoo.com
authors.forename: A O
authors.initials: AO
authors.lastname: Mocumbi
authors.forename: L
authors.initials: L
authors.lastname: Paul
authors.forename: L
authors.initials: L
authors.lastname: Maciel
authors.forename: P
authors.initials: P
authors.lastname: Silvia
authors.forename: M B
authors.initials: MB
authors.lastname: Ferreira
mesh_terms: D002051:Burkitt Lymphoma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D002648:Child; D004108:Dilatation, Pathologic; D004417:Dyspnea / Q000209:etiology; D006325:Heart Atria / Q000473:pathology; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology*; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D014463:Ultrasonography