Dúbrava Juraj, Drgoňa L'uboš, Kadlečík Rudolf
Department of Noninvasive Cardiology, St. Cyril and Method's Hospital, Antolská 11, 851 07 Bratislava, Slovakia.
Eur J Intern Med. 2005 Jun;16(3):204-206. doi: 10.1016/j.ejim.2004.10.020.
Non-Hodgkin's lymphoma (NHL) rarely presents initially with cardiac symptoms. In this case, its first symptom was a recurrent syncope. The diagnosis of mediastinal tumor was made with transesophageal echocardiography. Considerable compression of the left atrium and superior vena cava without intracardiac growth was a cause of the syncope. Tumor biopsy revealed a diffuse, high-grade, large B-cell NHL. The patient died after four cycles of chemotherapy. To our knowledge, no previous report has demonstrated a syncope as an initial presentation of mediastinal lymphoma not invading the heart.
非霍奇金淋巴瘤（NHL）最初很少以心脏症状出现。在该病例中，其首发症状为反复晕厥。经食管超声心动图检查诊断为纵隔肿瘤。左心房和上腔静脉受到明显压迫但无心脏内生长是晕厥的原因。肿瘤活检显示为弥漫性、高级别、大B细胞NHL。患者在四个周期化疗后死亡。据我们所知，此前尚无报道表明晕厥是纵隔淋巴瘤未侵犯心脏时的首发表现。
