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Cardiac Involvement by Burkitt Lymphoma in a 49-Year-Old Man
Kainat Khalid1, Nadeen Faza1, Nasser M Lakkis1
1Section of Cardiology, Department of Internal Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77030.
Abstract:
Malignant metastases are among the most common cardiac masses. We report a rare case of cardiac involvement by Burkitt lymphoma in a 49-year-old man who presented with a 2-month history of dyspnea and palpitations. A transthoracic echocardiogram revealed 2 intracardiac masses in the right atrium (one of which partially encased the tricuspid valve), myocardial infiltration, and pericardial disease. Results of pleural fluid cytology and flow cytometry confirmed involvement by Burkitt lymphoma. Subsequent chemotherapy markedly reduced the intracardiac tumor burden and resolved the patient's presenting symptoms. Our case highlights the importance of cardiac imaging in diagnosing systemic illness, initiating early and appropriate treatment, and monitoring disease progression in patients with intracardiac Burkitt lymphoma.
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