| Primary cardiac lymphoma in immunocompetent patients: a report of three cases and review of the literature. | |
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MedLine Citation:
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PMID: 12447675 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Primary cardiac lymphoma is an extranodal non-Hodgkin's lymphoma exclusively located in the heart and/or pericardium, extremely rare in immunocompetent patients, and more frequent in immunodepressed patients. We present 3 retrospectives cases of primary cardiac lymphoma in immunocompetent patients and review 35 cases reported in the literature. Two patients were adults and one was a child. Primary cardiac lymphoma presented with constitutional symptoms in two cases and superior vena caval syndrome in one case. Diagnosis of a tumor mass was made in all cases by transthoracic echocardiography. Primary cardiac lymphoma arose in the heart right chambers in two cases. Histological diagnoses, obtained after thoracotomy, were diffuse large B-cell lymphoma in two cases, and Burkitt's lymphoma in one case. All three cases received chemotherapy, combined with radiotherapy in one patient. Of our patients, 2 are alive and asymptomatic 12 months and 33 months after diagnosis. In conclusion, diagnosis of primary cardiac lymphoma is difficult due to non-specific clinical manifestations and should be considered in patients with a cardiac mass sometimes with pericardial effusion. It is confirmed using transthoracic echocardiography and magnetic resonance imaging and certified using cytology or open biopsy. The only effective treatment is chemotherapy, but prognosis remains poor. |
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Authors:
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Lara Chalabreysse; Françoise Berger; Robert Loire; Gilles Devouassoux; Jean-François Cordier; Françoise Thivolet-Bejui |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2002-09-27 |
Journal Detail:
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Title: Virchows Archiv : an international journal of pathology Volume: 441 ISSN: 0945-6317 ISO Abbreviation: Virchows Arch. Publication Date: 2002 Nov |
Date Detail:
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Created Date: 2002-11-26 Completed Date: 2003-01-23 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9423843 Medline TA: Virchows Arch Country: Germany |
Other Details:
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Languages: eng Pagination: 456-61 Citation Subset: IM |
Affiliation:
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Department of Pathology, Hôpital Louis Pradel, BP Lyon Montchat 69394 Lyon, Cedex 03, France. lara.chalabreysse@chu-lyon.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Burkitt Lymphoma / pathology* Child Fatal Outcome Female Heart Neoplasms / pathology* Humans Immunocompetence* Lymphoma, Large B-Cell, Diffuse / pathology* Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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