Rare Intracardiac Tumor: Primary Cardiac Lymphoma Presenting as Atypical Angina
Karthigesu Aimanan1, K Saravana Kumar2, M N Mohd Arif2
1Department of General Surgery, National University of Malaysia, Cheras, 56000 Kuala Lumpur, Malaysia.
Case Reports in Medicine
|February 24, 2016
Summary
Primary cardiac lymphoma is rare, often diagnosed post-surgery. Early diagnosis via imaging and resection, followed by chemotherapy, can lead to positive outcomes for this rare heart tumor.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Primary cardiac lymphomas are exceptionally rare, comprising only 2% of primary cardiac tumors.
- Lack of established treatment consensus due to rarity complicates management.
- Delayed diagnosis, often post-operative, negatively impacts prognosis and treatment planning.
Purpose of the Study:
- To highlight a unique case of primary cardiac lymphoma.
- To emphasize the importance of preoperative diagnosis for timely intervention.
- To present a successful management strategy for primary cardiac lymphoma.
Main Methods:
- Case report of a patient presenting with dyspnea and reduced effort tolerance.
- Utilized advanced imaging and emergency resection for diagnosis and initial treatment.
- Administered a course of postoperative chemotherapy.
Main Results:
- Preoperative diagnosis was achieved through imaging and surgical resection.
- The patient tolerated chemotherapy well.
- The patient remained disease-free at six months post-treatment.
Conclusions:
- Prompt diagnosis and surgical intervention are crucial for managing primary cardiac lymphoma.
- A multidisciplinary approach involving imaging, surgery, and chemotherapy can improve patient outcomes.
- This case underscores the potential for successful treatment despite the rarity of the condition.
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