Surgical resection of primary cardiac lymphoma presenting as a huge mass: report of two cases.
Gen Thorac Cardiovasc Surg
; 60(8): 494-7, 2012 Aug.
Article
in En
| MEDLINE
| ID: mdl-22610156
ABSTRACT
Primary cardiac lymphoma (PCL) is a rare malignancy that is sometimes diagnosed at later stages because it is not associated with specific symptoms. Although chemotherapy is the standard for treating PCL, the value of surgical resection is controversial. We describe two patients who were treated by surgical resection and chemotherapy. Case 1 is a 37-year-old man with a history of acute lymphocytic leukemia and shortness of breath, and Case 2 is a 70-year-old woman with general fatigue. Both of them were presented at hospital. In Case 2, arrhythmic syncope occurred and direct current cardioversion was performed. Echocardiography showed a massive tumor in the right atrium and disturbed hemodynamics in both cases. The restricted venous return was alleviated by emergency surgery. The pathology report indicated primary cardiac lymphoma that was regressed by post-operative chemotherapy. A massive PCL should be surgically resected to prevent sudden death.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Heart Neoplasms
/
Cardiac Surgical Procedures
/
Lymphoma
Type of study:
Etiology_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
En
Journal:
Gen Thorac Cardiovasc Surg
Journal subject:
ANGIOLOGIA
/
CARDIOLOGIA
Year:
2012
Document type:
Article
Affiliation country:
Japan