Fava C, Ghidoni P, Broich G, Matturri L
Institute of Pathology, University of Milan, Italy.
Anticancer Res. 1998 Mar-Apr;18(2B):1291-4.
A 76 year old man, who had undergone tonsillectomy for non Hodgkin's malignant lymphoma, died suddenly in rapidly evolving cardiogenic shock with electrocardiographic signs of acute lateral myocardial infarction. Post mortem examination showed three cardiac lesions, two in the left ventricle and one in the right atrium, corresponding to the "crista terminalis". Histologic examination of autopsy samples confirmed the presence of lymphoma in the heart, partially affecting the sino atrial node (NSA) but excluding other sites. There was no evidence of acute myocardial infarction in spite of the clinical signs and symptoms. An infarction-type electrocardiographic pattern associated with conduction disturbances in patients with lymphoma should suggest the possibility of cardiac localization of the disease.
一名76岁男性，因非霍奇金恶性淋巴瘤接受了扁桃体切除术，在迅速发展的心源性休克中突然死亡，伴有急性侧壁心肌梗死的心电图表现。尸检显示有三个心脏病变，两个在左心室，一个在右心房，对应于“界嵴”。尸检样本的组织学检查证实心脏存在淋巴瘤，部分累及窦房结，但排除其他部位。尽管有临床症状和体征，但没有急性心肌梗死的证据。淋巴瘤患者出现与传导障碍相关的梗死型心电图模式应提示疾病心脏定位的可能性。
