Kaderli Aysel Aydin, Baran Ibrahim, Aydin Ozlem, Bicer Murat, Akpinar Tayyar, Ozkalemkas Fahir, Yesilbursa Dilek, Gullulu Sumeyye
Department of Cardiology, Uludag University Faculty of Medicine, 16059 Gorukle, Bursa, Turkey.
Eur J Echocardiogr. 2010 Jan;11(1):74-6. doi: 10.1093/ejechocard/jep111. Epub 2009 Sep 15.
Primary cardiac lymphoma (PCL) is an extremely rare disorder. In this report, a 57-year-old male with diffuse large B-cell lymphoma involving the heart and great vessels is presented. Trans-thoracic echocardiography was the first modality used to establish the diagnosis. Fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) showed diffuse increased metabolic activity of the heart walls and hypermetabolic lesions occupying cardiac chambers in some areas. The patient underwent systemic chemotherapy, and after 13 days, a marked regression of the tumour mass was evident based on echocardiographic examination. After completing six R-CHOP chemotherapy treatments, PET imaging was planned to control the residual mass, but the patient was intubated due to pneumonia that developed after the sixth chemotherapy session and subsequently died due to sepsis.
原发性心脏淋巴瘤（PCL）是一种极为罕见的疾病。在本报告中，介绍了一名57岁男性，患有累及心脏和大血管的弥漫性大B细胞淋巴瘤。经胸超声心动图是用于确立诊断的首选检查方法。氟-18-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（FDG PET/CT）显示心脏壁代谢活性弥漫性增加，部分区域有占据心腔的高代谢病变。该患者接受了全身化疗，13天后，超声心动图检查显示肿瘤肿块明显消退。完成6次R-CHOP化疗后，计划进行PET成像以控制残留肿块，但患者在第六次化疗后因肺炎插管，随后因败血症死亡。
