Sánchez Jurado Pedro Manuel, Rizos Luis Romero, Guelbenzu María Luisa García-Mauriño, Abizanda Soler Pedro
Sección de Geriatría, Complejo Hospitalario Universitario de Albacete, Albacete, España.
Rev Esp Geriatr Gerontol. 2011 Jan-Feb;46(1):43-5. doi: 10.1016/j.regg.2010.08.002. Epub 2011 Feb 5.
A case of primary pulmonary non-Hodgkin's lymphoma is presented. On this occasion, the lymphoma invaded the myocardium, an event which has not previously been reported in the literature. These neoplasms spread by proximity, and invasion of the pericardium, thoracic wall and oesophagus have been described. Our patient died from heart failure. Tumour myocardial infiltration may well have been the determinant cause through various mechanisms, including a decrease in myocardial contractility. Spread into the myocardium may be facilitated by bulky tumour infiltrates in the pleural space.
本文报告一例原发性肺非霍奇金淋巴瘤。此次，淋巴瘤侵犯了心肌，这一情况此前文献中未见报道。这些肿瘤通过局部蔓延扩散，心包、胸壁和食管受侵已有相关描述。我们的患者死于心力衰竭。肿瘤浸润心肌很可能是通过多种机制成为决定性病因，包括心肌收缩力下降。胸膜腔内大量肿瘤浸润可能促使肿瘤扩散至心肌。
