Yu Jiafeng, Zhao Xin, Liu Yingfeng, Yan Qingwei, Miao Fei
Department of Cardiology, Heart Center, Zhujiang Hospital, Southern Medical University, 253 Middle Industrial Avenue, Guangzhou, Guangdong, 510280, China.
ESC Heart Fail. 2021 Apr;8(2):1620-1626. doi: 10.1002/ehf2.13197. Epub 2021 Feb 2.
Cardiac lymphoma is extremely rare in patients with normal immune function and difficult to identify through routine examinations in patients with atypical clinical manifestations, making early diagnosis very difficult. We reported a 71-year-old male patient who was repeatedly diagnosed of pulmonary infection, suspected lung tumour, and Kimura disease in other hospital due to cough, expectoration, and dyspnoea. Later on, the patient visited our hospital due to heart failure and epistaxis. Transthoracic echocardiogram confirmed the presence of a space-occupying lesion in the right heart, cardiac magnetic resonance imaging preliminarily determined the nature of this lesion, finally, F-fluorodeoxyglucose positron-emission tomography/computed tomography, and nasal mass biopsy confirmed the diagnosis of cardiac malignant lymphoma, and the pathological type was diffuse large B-cell lymphoma.
心脏淋巴瘤在免疫功能正常的患者中极为罕见,对于临床表现不典型的患者,通过常规检查很难识别,这使得早期诊断非常困难。我们报告了一名71岁男性患者,因咳嗽、咳痰和呼吸困难,在其他医院被反复诊断为肺部感染、疑似肺肿瘤和木村病。后来,该患者因心力衰竭和鼻出血前来我院就诊。经胸超声心动图证实右心存在占位性病变,心脏磁共振成像初步确定了该病变的性质,最后,F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描以及鼻肿块活检确诊为心脏恶性淋巴瘤,病理类型为弥漫性大B细胞淋巴瘤。