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Case report: Recurrent syncope as initial symptom in a patient with neck lymphoma
Yanfang Wu1, Deyan Yang1, Luxi Sun1
1Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Frontiers in Cardiovascular Medicine
|September 5, 2022
Summary
Recurrent syncope can signal neck lymphoma, a rare cause of this symptom. Early cancer detection through unexplained syncope evaluation is crucial for timely treatment.
Area of Science:
- Oncology
- Neurology
- Cardiology
Background:
- Syncope, or fainting, has diverse causes requiring thorough investigation.
- Neck lymphomas are an uncommon cause of recurrent syncope.
- Head and neck tumors compressing the carotid artery can induce syncope via carotid sinus syndrome.
Observation:
- A 72-year-old man presented with recurrent syncope.
- The syncope was caused by compression of the right carotid sinus.
- The compression was due to diffuse large B-cell lymphoma.
Findings:
- The patient's recurrent syncope was successfully treated with immunochemotherapy.
- Syncope can be an early or sole indicator of head and neck malignancy.
- Diffuse large B-cell lymphoma was identified as the cause of carotid sinus compression.
Implications:
- Increased awareness of syncope as a potential early sign of malignancy is warranted.
- Unexplained syncope necessitates evaluation for underlying tumors, particularly in head and neck regions.
- Prompt diagnosis and treatment of lymphoma can resolve syncope symptoms.
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