原发性心脏淋巴瘤：一例报告

Ajam Firas, Batchu Priyanka, Wiseman Kyle, Gor Dhairya, Mason Elisabeth, Alshami Abbas, Douedi Steven, Mehra Aditya, Bajwa Ravneet, Levitt Michael, Greenberg David, Raza Muhammad

Cardiology Department, Jersey Shore University Medical Center, Neptune, NJ, USA.

Internal Medicine Department, Jersey Shore University Medical Center, Neptune, NJ, USA.

J Med Cases. 2021 Nov;12(11):433-437. doi: 10.14740/jmc3773. Epub 2021 Nov 5.

Cardiac lymphoma is a rare neoplasm involving heart, pericardium or both, usually seen in immunocompromised patients. We report a 61-year-old male presenting with worsening shortness of breath and 20-pound weight loss. Investigations showed right-sided tumor with interatrial septal wall perforation and left atrial expansion. The diagnosis was confirmed with mediastinal mass biopsy. After receiving the appropriate treatment, there was a steady improvement clinically and on the transesophageal echocardiography.

心脏淋巴瘤是一种罕见的肿瘤，可累及心脏、心包或两者，通常见于免疫功能低下的患者。我们报告一例61岁男性，表现为进行性加重的气短和体重减轻20磅。检查显示右侧肿瘤伴房间隔穿孔和左心房扩大。经纵隔肿块活检确诊。接受适当治疗后，临床症状和经食管超声心动图检查均有稳步改善。