Pamplona Leticia Ferraz, Oliveira Kelly Barnabé Serpa de, Reis Neto João Ancelmo Dos, Bustamante Luis Antelo, Souza Januário Manoel de, Zacchi Flávia Fernandes Silva, Brito Juliana Brenande de Oliveira, Rojas Salomon Soriano Ordinola
Beneficência Portuguesa de São Paulo, São Paulo, SP - Brasil.
Fleury Group, São Paulo, SP - Brasil.
Arq Bras Cardiol. 2025 Mar 24;122(2):e20240299. doi: 10.36660/abc.20240299. eCollection 2025.
Cardiac tumors are rare. Primary cardiac lymphoma is defined as non-Hodgkin lymphoma that involves only the heart and/or pericardium. It is an aggressive tumor with a poor prognosis and its symptoms may be nonspecific. A definitive diagnosis can only be obtained through histopathological study, and chemotherapy is the main treatment strategy. This case is about a 71-year-old male patient, with a rare form of primary cardiac tumor. He had postoperative complications such as acute pulmonary edema and the need for a pacemaker, which occurred after tumor resection requiring reconstruction of the vena cava and suture of the right atrium. Primary cardiac lymphoma is a tumor that is difficult to diagnose because it has a vague and non-specific symptomatic presentation. However, it should always be included as a differential diagnosis of cardiac masses. Early diagnosis can significantly improve the prognosis and increase the survival rate of patients by quickly referring them for specific treatment.
心脏肿瘤较为罕见。原发性心脏淋巴瘤被定义为仅累及心脏和/或心包的非霍奇金淋巴瘤。它是一种侵袭性肿瘤，预后较差，其症状可能不具有特异性。只有通过组织病理学研究才能获得明确诊断，化疗是主要的治疗策略。该病例是一名71岁男性患者，患有罕见的原发性心脏肿瘤形式。他术后出现了急性肺水肿等并发症，并且在肿瘤切除后需要安装起搏器，肿瘤切除需要进行腔静脉重建和右心房缝合。原发性心脏淋巴瘤是一种难以诊断的肿瘤，因为其症状表现模糊且不具有特异性。然而，它始终应作为心脏肿块的鉴别诊断之一。早期诊断可通过迅速将患者转诊进行特定治疗，显著改善预后并提高患者的生存率。
