Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Korean Circ J. 2012 Jan;42(1):46-9. doi: 10.4070/kcj.2012.42.1.46. Epub 2012 Jan 31.
We described here a patient who presented with symptoms of heart failure who was found to have severe bilateral impairment of atrioventricular inflow. Primary cardiac lymphoma (PCL) with extensive involvement of the two atria, pericardium and myocardium is an extremely rare tumor in immunocompetent patients. We report here a case of PCL in an immunocompetent patient with involvement of both atria and the atrial septum. The tumor had a butterfly shape. We could not do surgical excision because of the massive pericardiac invasion. The diagnosis was B-cell lymphoma and this was confirmed by the pericardiac biopsy.
我们在此描述了一位表现为心力衰竭症状的患者，其被发现存在严重的双侧房室流入障碍。原发性心脏淋巴瘤（PCL）广泛累及两个心房、心包和心肌，在免疫功能正常的患者中极为罕见。我们在此报告一例免疫功能正常的患者的 PCL 病例，累及两个心房和房间隔。肿瘤呈蝴蝶状。由于大量心包侵犯，我们无法进行手术切除。心包活检证实诊断为 B 细胞淋巴瘤。
