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Jaundice and intracardiac tumour
C Daumerie1, C Lefebvre, P Mugabo
1Department of Internal Medicine, U.C.L. Cliniques Universitaires St-Luc, Brussels, Belgium.
Acta Cardiologica
|January 1, 1990
Summary
A rare type B lymphoma from the mediastinum invaded the heart, causing significant symptoms. This cardiac lymphoma was linked to autoimmune hemolytic anemia triggered by cold agglutinins.
Area of Science:
- Cardiology
- Oncology
- Hematology
Background:
- Mediastinal lymphomas can present with extranodal involvement.
- Cardiac manifestations of lymphoma are uncommon but can be life-threatening.
Observation:
- A type B lymphoma originated in the mediastinum.
- Massive metastatic invasion of the right cardiac cavities was observed, presenting as a projecting mass.
- Echocardiography effectively visualized the cardiac mass and its extent.
Findings:
- The cardiac lymphoma mass was responsible for the presenting clinical features.
- The patient also had autoimmune hemolytic anemia.
- The anemia was specifically attributed to cold agglutinins.
Implications:
- This case highlights the importance of considering lymphoma in cardiac masses, especially in the presence of unexplained anemia.
- Echocardiography is a crucial diagnostic tool for evaluating cardiac involvement in lymphoma.
- Understanding the association between specific lymphoma types and autoimmune phenomena is vital for comprehensive patient management.