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原发性心脏淋巴瘤：一例报告

Primary Cardiac Lymphoma: A Case Report.

作者信息

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

机构信息

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

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

出版信息

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

DOI:10.14740/jmc3773
PMID:34804301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8577611/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c51/8577611/3170ca68b325/jmc-12-433-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c51/8577611/1294980cbe4a/jmc-12-433-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c51/8577611/975d412e466d/jmc-12-433-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c51/8577611/fa8a396a575a/jmc-12-433-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c51/8577611/3170ca68b325/jmc-12-433-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c51/8577611/1294980cbe4a/jmc-12-433-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c51/8577611/975d412e466d/jmc-12-433-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c51/8577611/fa8a396a575a/jmc-12-433-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c51/8577611/3170ca68b325/jmc-12-433-g004.jpg

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引用本文的文献

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A presentation, treatment, and survival analysis of primary cardiac lymphoma cases reported from 2009 to 2019.2009 年至 2019 年报告的原发性心脏淋巴瘤病例的介绍、治疗和生存分析。
Int J Hematol. 2020 Jul;112(1):65-73. doi: 10.1007/s12185-020-02881-2. Epub 2020 Apr 13.
2
Cardiovascular adverse events in patients with non-Hodgkin lymphoma treated with first-line cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) or CHOP with rituximab (R-CHOP): a systematic review and meta-analysis.一线使用环磷酰胺、阿霉素、长春新碱和泼尼松（CHOP）或CHOP联合利妥昔单抗（R-CHOP）治疗的非霍奇金淋巴瘤患者的心血管不良事件：一项系统评价和荟萃分析。
Lancet Haematol. 2020 Apr;7(4):e295-e308. doi: 10.1016/S2352-3026(20)30031-4. Epub 2020 Mar 2.
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Primary cardiac lymphoma: two cases and a review of literature.原发性心脏淋巴瘤：两例病例报告及文献综述
J Cardiothorac Surg. 2015 Oct 30;10:138. doi: 10.1186/s13019-015-0348-0.
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A case of primary cardiac lymphoma showing isolated central nervous system relapse.一例原发性心脏淋巴瘤出现孤立性中枢神经系统复发。
Clin Lymphoma Myeloma Leuk. 2014 Feb;14(1):e31-3. doi: 10.1016/j.clml.2013.09.003. Epub 2013 Oct 2.
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Primary cardiac B-cell lymphoma with atrioventricular block and paroxysmal ventricular tachycardia.原发性心脏B细胞淋巴瘤伴房室传导阻滞和阵发性室性心动过速。
J Cardiothorac Surg. 2012 Jul 18;7:70. doi: 10.1186/1749-8090-7-70.
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Cancer. 2011 Feb 1;117(3):581-9. doi: 10.1002/cncr.25444. Epub 2010 Oct 4.
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Primary cardiac diffuse large B cell lymphoma presenting with superior vena cava syndrome.以腔静脉综合征为表现的原发性心脏弥漫性大B细胞淋巴瘤
Can J Cardiol. 2009 Jun;25(6):e210-2. doi: 10.1016/s0828-282x(09)70110-2.
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