Cardiac Lymphoma.
Lymphoma of the heart and pericardium may develop in up to 25% of patients with disseminated nodal disease, but primary cardiac lymphoma is rare. The majority are diffuse large B-cell lymphomas, which arise in immunocompetent older individuals, men twice as often as women. Subsets are found in immunocompromised patients, including those with HIV-AIDS or allograft recipients. Cardiac lymphomas tend to arise in the wall of the right heart, especially right atrium, with contiguous infiltration of epicardium and pericardium. Pericardial implants and effusions are common. The disease is often multifocal in the heart, but cardiac valves are usually spared.
Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.
Jean
J
Jeudy
Department of Pathology, University of Maryland School of Medicine, Baltimore, MD, USA.
Allen P
AP
Burke
Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA; American Institute for Radiologic Pathology, 1010 Wayne Avenue, Silver Spring, MD, USA. Electronic address: afrazier@acr.org.
Aletta Ann
AA
Frazier
D003937:Diagnosis, Differential; D019317:Evidence-Based Medicine; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008223:Lymphoma / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy
Cardiac neoplasia; Diffuse large B-cell lymphoma; Posttransplant lymphoproliferative disorder (PTLD); Primary cardiac lymphoma; Primary effusion lymphoma