Wu Yanfang, Yang Deyan, Sun Luxi, Xu Xiqi, Gao Peng, Cheng Kangan, Chen Taibo, Cheng Zhongwei, Liu Yongtai, Fang Quan
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Front Cardiovasc Med. 2022 Aug 17;9:932798. doi: 10.3389/fcvm.2022.932798. eCollection 2022.
Syncope may have many different causes, requiring careful identification. Recurrent syncope is uncommon as an initial symptom of neck lymphoma. Head and neck tumors involving the carotid artery cause syncope associate with carotid sinus syndrome. We report the case of a 72-year-old man who suffered from recurrent syncope due to compression of the right carotid sinus by diffuse large B-cell lymphoma and was successfully treated with immunochemotherapy. Syncope may be an early or sole sign of a neck or head tumor. We should be aware of the possibility of an underlying malignancy in patients with unexplained syncope after initial evaluation.
晕厥可能有许多不同病因，需要仔细甄别。复发性晕厥作为颈部淋巴瘤的初始症状并不常见。累及颈动脉的头颈部肿瘤会导致与颈动脉窦综合征相关的晕厥。我们报告一例72岁男性患者，其因弥漫性大B细胞淋巴瘤压迫右侧颈动脉窦而反复晕厥，经免疫化疗成功治愈。晕厥可能是颈部或头部肿瘤的早期或唯一症状。在初次评估后，对于不明原因晕厥的患者，我们应意识到存在潜在恶性肿瘤的可能性。
