title: Unusual origin and rare presentation of primary cardiac lymphoma.
abstract: Non-Hodgkin lymphoblastic lymphomas are very uncommon tumors that rarely involve the heart; however, when they do, they typically cause cardiac symptoms. Herein, we describe the case of a young woman who presented with respiratory symptoms. These were caused by a high-grade lymphoblastic lymphoma, which originated in the left inferior pulmonary vein and extended into the left atrium. The tumor was surgically debulked, but it recurred in 1 month, and the patient underwent chemotherapy. Six months later, she had recurrent respiratory symptoms, and echocardiography revealed a persistent mass in the left lower lobar vein. A modified chemotherapy regimen led to complete resolution of the tumor within 2 months. We are unaware of other reports of a primary cardiac non-Hodgkin lymphoblastic lymphoma with this unusual site of origin and rare manifestation of symptoms.
authors.affiliation: Department of Cardiac Surgery, Alexandria University, Alexandria 21526, Egypt. amigo_cts@yahoo.com
authors.forename: Amir
authors.initials: A
authors.lastname: Mohamed
authors.forename: Sanjay
authors.initials: S
authors.lastname: Cherian
authors.forename: Ahmed
authors.initials: A
authors.lastname: El-Ashmawy
authors.forename: Salah Eldin
authors.initials: SE
authors.lastname: Abdelmoneim
authors.forename: Maher
authors.initials: M
authors.lastname: Soliman
authors.forename: Mohamed
authors.initials: M
authors.lastname: Abu-Rayan
authors.forename: Afksendyios
authors.initials: A
authors.lastname: Kalangos
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols; D001706:Biopsy; D006348:Cardiac Surgical Procedures; D017024:Chemotherapy, Adjuvant; D004417:Dyspnea / Q000209:etiology; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000150:complications / Q000473:pathology* / Q000628:therapy; D006801:Humans; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications / Q000473:pathology* / Q000628:therapy; D011667:Pulmonary Veins / Q000473:pathology*; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000150:complications / Q000473:pathology* / Q000628:therapy