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Exudative pericarditis in the evolution of a diffuse large B-cell lymphoma

Cristina Bagacean1, Adrian Tempescul2, Jean-Christophe Ianotto2

  • 1Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Cardiovascular Journal of Africa
|September 26, 2015
PubMed

Insights

Cardiac involvement in non-Hodgkin's lymphoma is rare but serious. This case highlights PET-CT scan diagnosis of lymphomatous pericarditis alongside lymphoma remission.

Area of Science:

  • Cardiology
  • Oncology
  • Medical Imaging

Background:

  • Cardiac involvement in non-Hodgkin's lymphoma (NHL) is uncommon and associated with poor prognosis.
  • Clinical presentations vary, with heart failure being the most frequent.
  • Diagnosis typically relies on cardiac ultrasound.

Observation:

  • A case of lymphomatous pericarditis in an NHL patient is presented.
  • The diagnosis was established using a positron emission tomography-computed tomography (PET-CT) scan.
  • This occurred concurrently with complete isotopic remission of mediastinal lymph nodes after chemotherapy.

Findings:

  • PET-CT scan successfully diagnosed lymphomatous pericarditis.
  • The cardiac involvement was identified despite successful chemotherapy leading to lymphoma remission.
  • This suggests potential for cardiac involvement even during systemic disease control.

Implications:

  • PET-CT may offer a valuable diagnostic tool for cardiac lymphoma.
  • Early detection of cardiac involvement is crucial for managing NHL patients.
  • Further research is needed to understand the clinical significance and management of cardiac involvement during lymphoma remission.

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