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Updated: Mar 20, 2026

Flow Cytometry-Based Quantification and Analysis of Myocardial B-Cells
Published on: August 17, 2022
Cardiac Lymphoma.
Jean Jeudy1, Allen P Burke2, Aletta Ann Frazier3
1Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.
Primary cardiac lymphoma is rare, mostly diffuse large B-cell lymphomas in older men. While common in disseminated nodal disease, primary heart lymphoma is uncommon, often affecting the right heart with pericardial effusions.
Area of Science:
- Cardiovascular Pathology
- Hematologic Oncology
Background:
- Cardiac lymphoma can occur in up to 25% of patients with disseminated nodal lymphoma.
- Primary cardiac lymphoma, however, is a rare clinical presentation.
Purpose of the Study:
- To review the characteristics of cardiac and pericardial lymphoma.
- To highlight the typical presentation and pathology of this rare condition.
Main Methods:
- Review of existing literature on cardiac and pericardial lymphoma.
- Analysis of epidemiological and clinical features from reported cases.
Main Results:
- The majority of cardiac lymphomas are diffuse large B-cell lymphomas.
- These typically affect immunocompetent older males, with a 2:1 male-to-female ratio.
- Cardiac lymphomas commonly involve the right heart, particularly the right atrium, with epicardial and pericardial infiltration.
- Pericardial effusions and implants are frequent, and the disease is often multifocal within the heart, sparing cardiac valves.
Conclusions:
- Primary cardiac lymphoma is a rare entity, distinct from secondary involvement in nodal disease.
- Understanding its predilection for the right heart and specific histological type is crucial for diagnosis and management.
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