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Follicular lymphoma with cardiac involvement in a 90-year-old patient: A case report

Yi-Xuan Sun1, Jia Wang1, Ji-Heng Zhu1

  • 1Department of Geriatrics, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

World Journal of Clinical Cases
|October 17, 2022
PubMed

Insights

This case highlights follicular lymphoma presenting solely as severe heart failure. Cardiac lymphoma diagnosis is challenging due to nonspecific symptoms and poor prognosis.

Area of Science:

  • Cardiovascular Medicine
  • Hematology
  • Oncology

Background:

  • Cardiac lymphoma is rare, often secondary to non-Hodgkin's lymphoma.
  • Follicular lymphoma is an uncommon cause of cardiac involvement.

Observation:

  • A 90-year-old male presented with follicular lymphoma and initially normal cardiac function.
  • The patient later developed severe heart failure with left ventricular wall thickening and pericardial effusion.
  • Cardiac symptoms were the sole clinical manifestation of the lymphoma.

Findings:

  • Follicular lymphoma can present with cardiac involvement leading to heart failure.
  • Echocardiography revealed progressive cardiac abnormalities.
  • Diagnosis of cardiac lymphoma is often delayed due to nonspecific symptoms.

Implications:

  • This case underscores the importance of considering lymphoma in unexplained heart failure.
  • Early diagnosis and treatment are crucial for improving outcomes in cardiac lymphoma.
  • Further research is needed to improve diagnostic strategies and therapeutic options for cardiac lymphoma.
Abstract

Keywords:
Cardiac lymphomaCase reportChemotherapyElderly patientFollicular lymphomaHeart failure

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