Miyazaki T, Yoshida T, Mori H, Yamazaki K, Handa S, Nakamura Y
J Am Coll Cardiol. 1985 Oct;6(4):937-41. doi: 10.1016/s0735-1097(85)80510-6.
A patient with malignant lymphoma who developed congestive heart failure, conduction disturbances and myocardial infarction is presented. Two-dimensional echocardiography revealed marked thickening of the left ventricular wall, where the gallium scan correspondingly showed an abnormal accumulation. Irradiation to the mediastinum resulted in a dramatic decrease in ventricular wall thickness and disappearance of the gallium accumulation. Postmortem examination confirmed previous lymphomatous involvement of the myocardium. Combined techniques, including echocardiography and gallium scan, can be valuable for noninvasive detection and follow-up of myocardial involvement in patients with malignant lymphoma.
本文报告了一名恶性淋巴瘤患者，该患者出现了充血性心力衰竭、传导障碍和心肌梗死。二维超声心动图显示左心室壁明显增厚，镓扫描相应显示有异常积聚。对纵隔进行放疗后，心室壁厚度显著降低，镓积聚消失。尸检证实先前心肌有淋巴瘤累及。包括超声心动图和镓扫描在内的联合技术，对于恶性淋巴瘤患者心肌受累的无创检测和随访可能具有重要价值。
