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[Malignant cardiac lymphoma].

K Ishiguro1, K Kojima, M Tsubota

  • 1Ishikawa Prefectural Centural Hospital, Kanazawa, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|March 14, 2000
PubMed
Summary
This summary is machine-generated.

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A cardiac tumor was diagnosed as B-cell type malignant lymphoma. Chemotherapy effectively treated a subsequent chin mass of the same lymphoma type, with no recurrence observed.

Area of Science:

  • Cardiology
  • Oncology
  • Pathology

Background:

  • A 65-year-old male presented with shock, revealing a cardiac tumor in the right atrium via transesophageal echocardiography.
  • The tumor was surgically resected under cardiopulmonary bypass.

Observation:

  • Histological examination diagnosed the cardiac tumor as malignant lymphoma of B-cell type.
  • Post-operatively, a chin mass appeared, confirmed as the same B-cell malignant lymphoma.
  • CT and Ga-scanning identified no other lesions in the body.

Findings:

  • The patient received six cycles of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) chemotherapy.
  • The chin mass completely resolved following chemotherapy.
  • No recurrence of the lymphoma was observed during a six-month follow-up period.

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Implications:

  • This case highlights the potential for cardiac B-cell lymphoma to present with secondary extranodal disease.
  • Successful management of cardiac lymphoma with subsequent chemotherapy for extranodal recurrence is demonstrated.
  • Early diagnosis and multimodal treatment are crucial for managing cardiac malignant lymphoma.