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Case report: multimodality imaging to diagnose cardiac diffuse large B-cell lymphoma.

ABSTRACT:

Background

Primary cardiac lymphoma (PCL) is rare and can present with a wide variety of clinical symptoms, frequently leading to a delay in diagnosis.

Case summary

We report a case of a PCL in an 81-year-old man. Cardiac magnetic resonance imaging showed multiple masses in the right atrium and a mass in the right ventricular outflow tract extending to the pulmonary artery. Biopsy revealed a diffuse large B-cell lymphoma. The patient also had metastases to the liver and lung on the positron emission tomography-computed tomography (PET-CT) scan. He was treated with R-CHOP chemotherapy, with complete remission documented PET-CT scans.

Conclusion

Although most patients with PCL die before chemotherapy can be initiated, a timely diagnosis can result in a favourable outcome.

SUBMITTER: Alansari YE

PROVIDER: S-EPMC8189295 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature

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Publications

Case report: multimodality imaging to diagnose cardiac diffuse large B-cell lymphoma.

Alansari Yahya E YE Yudhistiara Brian B Michel René P RP Elstein Eleanor E

European heart journal. Case reports 20210507 5

<h4>Background</h4>Primary cardiac lymphoma (PCL) is rare and can present with a wide variety of clinical symptoms, frequently leading to a delay in diagnosis.<h4>Case summary</h4>We report a case of a PCL in an 81-year-old man. Cardiac magnetic resonance imaging showed multiple masses in the right atrium and a mass in the right ventricular outflow tract extending to the pulmonary artery. Biopsy revealed a diffuse large B-cell lymphoma. The patient also had metastases to the liver and lung on th ...[more]

PMID: 34124570

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