Canpolat U, Sunman H, Kaya E B, Aytemir K
Department of Cardiology, Hacettepe University Faculty of Medicine, Sihhiye/Ankara, Turkey.
Herz. 2012 Nov;37(7):770-2. doi: 10.1007/s00059-012-3586-0. Epub 2012 Mar 11.
The clinical presentation of oncological malignancies may vary widely. Herein, we present a patient with a huge mediastinal mass surrounding the heart, which caused the right ventricle to collapse. The mass was diagnosed as T-cell lymphoblastic lymphoma. Treatment consisted of intrathecal prednisone, ARA-C, methotrexate, and the CHOP chemotherapy regimen. Transthoracic echocardiography revealed disappearance of the paracardiac mass in front of the right ventricle at the 2-month follow-up.
肿瘤性恶性疾病的临床表现可能差异很大。在此，我们报告一名患者，其心脏周围有一个巨大的纵隔肿块，导致右心室塌陷。该肿块被诊断为T细胞淋巴母细胞淋巴瘤。治疗包括鞘内注射泼尼松、阿糖胞苷、甲氨蝶呤以及CHOP化疗方案。经胸超声心动图显示，在2个月的随访中，右心室前方的心旁肿块消失。
