Gao Feng, Koh Stephanie, Taveras-Alam Sara, Khalid Umair
Baylor College of Medicine, Houston, Texas, US.
Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, Texas, US.
Methodist Debakey Cardiovasc J. 2022 Jul 11;18(1):48-53. doi: 10.14797/mdcvj.1126. eCollection 2022.
Primary cardiac tumors, although exceedingly rare, should be considered in the differential diagnosis during workup of any cardiac mass. Extranodal cardiac lymphomas have a natural aggressive course due to delayed diagnosis. We present a 71-year-old male with a dual-chamber pacemaker who presented with fevers and new cutaneous nodules. He was found to have a right atrial primary anaplastic large-cell lymphoma and had a complete metabolic response after chemotherapy. Our case highlights the importance of a multimodality approach in the diagnosis of cardiac tumors and during follow-up after treatment.
原发性心脏肿瘤虽然极为罕见，但在对任何心脏肿块进行检查时的鉴别诊断中都应予以考虑。结外心脏淋巴瘤由于诊断延迟，其自然病程具有侵袭性。我们报告一例71岁男性，植入双腔起搏器，出现发热和新的皮肤结节。他被发现患有右心房原发性间变性大细胞淋巴瘤，化疗后获得完全代谢缓解。我们的病例强调了多模式方法在心脏肿瘤诊断及治疗后随访中的重要性。
