Chen Ke-Wei, Chang Ju-Hsin, Yeh Su-Peng, Lu Chiung-Ray
Division of Cardiology, Department of Internal Medicine, China Medical University Hospital, Taichung 40447, Taiwan.
J Cardiothorac Surg. 2012 Jul 18;7:70. doi: 10.1186/1749-8090-7-70.
Primary cardiac lymphoma (PCL) is very rare, and is extremely challenging to diagnose due to nonspecific symptoms. When discovered, the right atrium and ventricle are most commonly affected, while diffuse cardiac involvement is uncommon. PCL is fatal unless promptly diagnosed and treated. Herein, we present the case of a 36-year-old immunocompetent male who presented with a 5-year history of non-specific chest symptoms and was diagnosed with primary diffuse cardiac large B-cell lymphoma involving the entire heart.
原发性心脏淋巴瘤(PCL)非常罕见,因其症状不具特异性,诊断极具挑战性。发现时,右心房和右心室最常受累,而心脏弥漫性受累并不常见。PCL若不及时诊断和治疗会导致死亡。在此,我们报告一例36岁免疫功能正常的男性病例,该患者有5年非特异性胸部症状病史,被诊断为原发性弥漫性心脏大B细胞淋巴瘤,累及整个心脏。