Khalid Kainat, Faza Nadeen, Lakkis Nasser M, Tabbaa Rashed
Section of Cardiology, Department of Internal Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77030.
Tex Heart Inst J. 2020 Jun 1;47(3):210-212. doi: 10.14503/THIJ-17-6448.
Malignant metastases are among the most common cardiac masses. We report a rare case of cardiac involvement by Burkitt lymphoma in a 49-year-old man who presented with a 2-month history of dyspnea and palpitations. A transthoracic echocardiogram revealed 2 intracardiac masses in the right atrium (one of which partially encased the tricuspid valve), myocardial infiltration, and pericardial disease. Results of pleural fluid cytology and flow cytometry confirmed involvement by Burkitt lymphoma. Subsequent chemotherapy markedly reduced the intracardiac tumor burden and resolved the patient's presenting symptoms. Our case highlights the importance of cardiac imaging in diagnosing systemic illness, initiating early and appropriate treatment, and monitoring disease progression in patients with intracardiac Burkitt lymphoma.
恶性转移瘤是最常见的心脏肿物之一。我们报告了一例罕见的49岁男性伯基特淋巴瘤累及心脏的病例，该患者有2个月的呼吸困难和心悸病史。经胸超声心动图显示右心房有2个心内肿物（其中一个部分包绕三尖瓣）、心肌浸润和心包病变。胸水细胞学检查和流式细胞术结果证实为伯基特淋巴瘤累及。随后的化疗显著减轻了心内肿瘤负荷并缓解了患者的症状。我们的病例强调了心脏成像在诊断全身性疾病、尽早开始适当治疗以及监测心内伯基特淋巴瘤患者疾病进展方面的重要性。
