Perocchio M, Tomassini B, Biasia R, Belli Valletta M, Cerutti A, Bobba F
Divisione di Cardiologia, USSL 47, Ospedale degli Infermi, Biella, Vercelli.
Minerva Med. 1992 Dec;83(12 Suppl 1):73-7.
Primary cardiac tumors are rare. Approximately 25% of primary cardiac tumors are malignant, with the majority of these being sarcomas. Primary lymphoma of the heart is a very rare malignancy, usually recognized at autopsy or fatal within a few weeks of diagnosis. we report the case of a patient with diffuse large uncleaved cell lymphoma of the heart who had dyspnea, distention of the neck veins, edema of the face and arms. The diagnosis in this patient was aided by 2D-echocardiography, CT scan of the chest and superior vena caval angiography. The diagnosis was confirmed at operation and by histological examination. Surgical procedures were only palliative and aimed at prolonging life. However, prognosis remained severe and unchanged.
原发性心脏肿瘤很罕见。原发性心脏肿瘤约25%为恶性，其中大多数是肉瘤。原发性心脏淋巴瘤是一种非常罕见的恶性肿瘤，通常在尸检时才被发现，或在诊断后几周内死亡。我们报告一例患有弥漫性大无裂细胞性心脏淋巴瘤的患者，该患者有呼吸困难、颈静脉扩张、面部和手臂水肿。二维超声心动图、胸部CT扫描和上腔静脉血管造影有助于该患者的诊断。手术及组织学检查确诊了该病。手术仅为姑息性的，目的是延长生命。然而，预后仍然很差且无变化。
