Guillemot L, Denis J, Caille G, Migeon J, Nouel J F, Linder F
Service de Cardiologie, Centre Hospitalier, Saint-Nazaire.
J Radiol. 1996 Jan;77(1):45-8.
Primary lymphomas rarely affect the heart. The myocardial disease is usually latent and the diagnosis is based on post mortem observations. The cardiac symptoms do not reveal the disease and symptomatology is not specific. Our observation shows the complementarity of non invasive techniques, for a better screening of cardiac tumoral forms. Although echocardiography is the main examination, CT scan provides a detection of infiltrative forms and of extracardiac extension. Concurrently, MRI remains the method of choice to display beginning infiltrative forms, revealed by pericardial effusion in AIDS disease.
原发性淋巴瘤很少累及心脏。心肌疾病通常隐匿,诊断基于尸检观察。心脏症状不能揭示该疾病,且症状学不具特异性。我们的观察显示了非侵入性技术的互补性,有助于更好地筛查心脏肿瘤形式。尽管超声心动图是主要检查手段,但CT扫描可检测浸润性形式及心脏外扩展情况。同时,MRI仍是显示早期浸润性形式的首选方法,这在艾滋病患者中可通过心包积液得以揭示。