Montiel Virginie, Maziers Nicolas, Dereme Thierry
Department of Cardiology, Cliniques Universitaires UCL de Mont Godinne, Yvoir, Belgium.
Acta Cardiol. 2007 Feb;62(1):55-8. doi: 10.2143/AC.62.1.2019372.
Primary cardiac lymphoma (PCL) is a rare and extremely aggressive malignancy, which can express itself by damaging the cardiac conduction system (complete atrio-ventricular block), the myocardium and the pericardium. Histology confirms the diagnosis. Chances of survival depend on early diagnosis and treatment. We present the case of a female patient admitted for severe deterioration of her general state of health who had a complete atrio-ventricular block caused by a tumour of the atrial septum, a B-cell lymphoma stage I. The diagnosis was suggested by combined PET/CT imaging and confirmed by histology of a cardiac biopsy. Her general clinical condition, including the cardiac parameters, significantly improved following chemotherapy induction.
原发性心脏淋巴瘤（PCL）是一种罕见且极具侵袭性的恶性肿瘤，可通过损害心脏传导系统（完全性房室传导阻滞）、心肌和心包来表现自身。组织学检查可确诊。生存几率取决于早期诊断和治疗。我们报告一例女性患者，因全身健康状况严重恶化入院，其患有由房间隔肿瘤（I期B细胞淋巴瘤）导致的完全性房室传导阻滞。PET/CT联合成像提示了诊断，并经心脏活检组织学检查得以证实。化疗诱导后，她的总体临床状况，包括心脏参数，有了显著改善。
