Mauricio Rina, Mgbako Ofole, Buntaine Adam, Moreira Andre, Jung Albert
Departments of Medicine and Pathology, New York University School of Medicine, New York City, NY, USA.
Case Rep Cardiol. 2016;2016:2124975. doi: 10.1155/2016/2124975. Epub 2016 Dec 22.
Primary cardiac tumors are a rare set of benign and malignant neoplasms found in the heart or pericardium. We describe a patient presenting with nonspecific symptoms and ultimately diagnosed with primary cardiac non-Hodgkin's lymphoma (PCL). Our patient had extensive tumor in the right ventricle, which extended into the right atrium and right ventricular outflow tract. The tumor also encased the right coronary artery, which manifested as ischemic changes on EKG and cardiac MRI. The patient was treated with chemotherapy and achieved complete remission, with dramatic and full resolution of the mass on repeat echocardiography in nine weeks. More studies are needed to understand the optimal management and prognosis of patients with PCL.
原发性心脏肿瘤是一组罕见的发生于心脏或心包的良性和恶性肿瘤。我们描述了一名出现非特异性症状并最终被诊断为原发性心脏非霍奇金淋巴瘤（PCL）的患者。我们的患者右心室有广泛肿瘤，肿瘤延伸至右心房和右心室流出道。肿瘤还包绕了右冠状动脉，这在心电图和心脏磁共振成像上表现为缺血性改变。该患者接受了化疗并实现完全缓解，在9周后的重复超声心动图检查中肿块显著且完全消退。需要更多研究来了解PCL患者的最佳治疗和预后情况。
