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Lymphoma with clinical presentation of a primary pericardial tumor
Ana Teresa Timóteo1, Rosa Gouveia, Pedro Araújo Gonçalves
1Serviços de Cardiologia e Anatomia Patológica, Hospital de Santa Cruz, Carnaxide, Portugal. ana_timoteo@yahoo.com
Insights
Primary cardiac lymphoma is rare. This case report details a 79-year-old patient with heart failure caused by a rapidly progressing B-cell non-Hodgkin lymphoma of the heart.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Primary malignant cardiac tumors are rare, with lymphoma being particularly uncommon.
- Cardiac metastasis from other cancers is more frequent than primary heart tumors.
Observation:
- A 79-year-old patient presented with acute heart failure symptoms over 3 weeks.
- Diagnostic evaluation revealed a cardiac tumor with an atypical presentation.
- The tumor exhibited rapid progression and a fatal outcome.
Findings:
- Pathologic analysis confirmed the cardiac tumor as a B-cell non-Hodgkin lymphoma.
- This highlights a rare instance of primary cardiac lymphoma.
Implications:
- This case underscores the importance of considering rare cardiac tumors in the differential diagnosis of heart failure.
- Rapidly evolving cardiac masses necessitate prompt and thorough investigation.
- Understanding the presentation of primary cardiac lymphoma can aid in earlier diagnosis and management strategies.
Abstract:
Primary malignant cardiac tumors, particularly lymphoma, are rare entities. Cardiac involvement or metastization of the heart from neoplasia located elsewhere are more frequently found. We present the case of a 79-year-old patient admitted with heart failure symptoms with a 3-week evolution. Evaluation led to the identification of a cardiac tumor with unusual clinical presentation and with a rapid and fatal evolution. Pathologic analysis identified a B-cell non-Hodgkin lymphoma.
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