title: [Primary cardiac lymphoma in an immunocompetent young adult: outcome with chemotherapy].
abstract: Primitive cardiac lymphoma (PCL) is a rare disease accounting for only 1-2% of primary cardiac tumors. Diffuse large B cell lymphoma is the most common type and shows a rapid progression with poor prognosis. The clinical presentation of PCL is nonspecific, and echocardiographic study is essential to the initial work-up. Magnetic resonance imaging and computed tomography scan are the methods of choice for the assessment of tumor extension. The definitive diagnosis is histopathology examination. Chemotherapy and radiotherapy represent the best treatment and should be started promptly after PCL diagnosis. We here report a case of PCL in a 59-year-old man complicated by pulmonary microembolism, atrial fibrillation and signs of right outflow tract obstruction.
authors.affiliation: Divisione di Cardiologia, Dipartimento Cardiovascolare, Ospedali Riuniti di Ancona, Ancona.
authors.forename: Gian Piero
authors.initials: GP
authors.lastname: Perna
authors.affiliation: Clinica di Ematologia, Università Politecnica delle Marche, Ospedali Riuniti di Ancona, Ancona.
authors.forename: Guido
authors.initials: G
authors.lastname: Gini
authors.affiliation: Divisione di Cardiologia, Dipartimento Cardiovascolare, Ospedali Riuniti di Ancona, Ancona.
authors.forename: Michela
authors.initials: M
authors.lastname: Brambatti
authors.affiliation: Divisione di Cardiologia, Dipartimento Cardiovascolare, Ospedali Riuniti di Ancona, Ancona.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Battistoni
authors.affiliation: Divisione di Cardiologia, Dipartimento Cardiovascolare, Ospedali Riuniti di Ancona, Ancona.
authors.forename: Marco
authors.initials: M
authors.lastname: Marini
authors.affiliation: Divisione di Cardiologia, Dipartimento Cardiovascolare, Ospedali Riuniti di Ancona, Ancona.
authors.forename: Luca
authors.initials: L
authors.lastname: Angelini
authors.affiliation: Divisione di Cardiologia, Dipartimento Cardiovascolare, Ospedali Riuniti di Ancona, Ancona.
authors.forename: Matteo
authors.initials: M
authors.lastname: Francioni
authors.affiliation: Anatomia Patologica, Dipartimento di Scienze Biomediche e Sanità Pubblica, Università Politecnica delle Marche, Ospedali Riuniti di Ancona, Ancona.
authors.forename: Gaia
authors.initials: G
authors.lastname: Goteri
authors.affiliation: Divisione di Cardiologia, Dipartimento Cardiovascolare, Ospedali Riuniti di Ancona, Ancona.
authors.forename: Melissa
authors.initials: M
authors.lastname: Dottori
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001706:Biopsy; D004452:Echocardiography; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D006801:Humans; D007121:Immunocompetence; D016393:Lymphoma, B-Cell / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants