Pettelot G, Gibelin P, Blanc P, Hoffman P, Fuzibet J G, Ferrari E, Baudouy M, Morand P
Service de cardiologie, hôpital Pasteur, Nice.
Arch Mal Coeur Vaiss. 1996 Mar;89(3):379-81.
The authors report the case of a non-Hodgkin malignant lymphoma (NHL) of the heart presenting with syncope. The diagnosis of a cardiac tumours was made by echocardiography. Myocardial biopsy enabled diagnosis of a highly malignant NHL in a patient with a history of low grade NHL. Chemotherapy with CNOP (Cyclophosphamide, Novantrone, Oncovin, Prednisone) induced total regression of the tumour. The patient is in total remission 23 months later. The authors emphasise the value of echocardiography in the diagnosis and follow-up of this pathology. The case is also noteworthy because of the unusual transformation of a low grade to a high grade cardiac NHL.
作者报告了一例以晕厥为表现的心脏非霍奇金恶性淋巴瘤(NHL)病例。通过超声心动图诊断出心脏肿瘤。心肌活检确诊一名有低度NHL病史的患者患有高度恶性NHL。采用CNOP(环磷酰胺、诺维本、长春新碱、泼尼松)化疗使肿瘤完全消退。23个月后患者完全缓解。作者强调了超声心动图在该疾病诊断和随访中的价值。该病例还因其低度心脏NHL向高度心脏NHL的异常转变而值得关注。