title: Right atrial B-cell lymphoma in a patient with ocular melanoma.
abstract: Primary cardiac lymphoma (PCL) is defined as a non-Hodgkin lymphoma involving only the heart or pericardium. PCL is extremely rare and often misdiagnosed. We report the case of a healthy 53-year-old male who originally presented with blurred vision secondary to a right intraocular mass. Enucleation of the eye confirmed a ciliary body melanoma and, upon further investigation, the patient was discovered to have a mass in the right atrium suspicious for a myxoma. However, resection of the atrial mass revealed a low-grade B-cell PCL. The occurrence of PCL in an immunocompetent patient being investigated for a visceral malignancy makes this a highly unusual presentation of a rare neoplasm.
authors: Department of Internal Medicine, Section of Cardiovascular Disease, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. marcus-smith@ouhsc.edu
authors: Marcus
authors: M
authors: Smith
authors: Harsh
authors: H
authors: Golwala
authors: Hany
authors: H
authors: Magharyous
authors: Timothy
authors: T
authors: Trotter
authors: Ravindranauth
authors: R
authors: Sawh
authors: Pedro
authors: P
authors: Lozano
mesh_terms: D001706:Biopsy; D006348:Cardiac Surgical Procedures; D002924:Ciliary Body; D003937:Diagnosis, Differential; D005134:Eye Neoplasms / Q000150:complications* / Q000175:diagnosis; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008545:Melanoma / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged; D014057:Tomography, X-Ray Computed