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Obstructive Primary Cardiac T-Cell Lymphoma: A Case Report from Senegal
Simon Antoine Sarr1, Abdou Majib Gaye2, Fatou Aw1
1Department of Cardiology, Teaching Hospital Aristide Le Dantec, Dakar, Senegal.
The American Journal of Case Reports
|March 21, 2017
Summary
Cardiac lymphoma, a rare heart mass, can cause severe right heart failure. Diagnosis is challenging but crucial for patient outcomes, even in young adults.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Cardiac lymphoma is a rare condition characterized by primary tumors within the heart.
- It is defined by a non-extra-cardiac location at the time of diagnosis.
Observation:
- A 32-year-old female presented with symptoms of right heart failure, including ascites and pleural effusion.
- Investigations revealed a large, heterogeneous mass in the right atrium obstructing the tricuspid valve, along with atrial fibrillation and left ventricular dysfunction.
- Imaging showed extension to the posterior mediastinum and thrombosis of the jugular vein and inferior vena cava.
Findings:
- Pathology confirmed the diagnosis of T-cell lymphoma.
- The patient experienced cardiovascular shock and died due to refractory right heart failure.
Implications:
- Primary cardiac lymphoma should be considered in the differential diagnosis of intra-cardiac masses.
- Despite diagnostic challenges, early consideration is vital for managing this rare and aggressive condition.