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Primary Cardiac Lymphoma Presenting With Chronic Cough and Dyspnea
Noémie Fournier1, Dina Milowich2, Patrice Carroz3
1Department of Internal Medicine, Sion Hospital (CHVR), Sion, Switzerland.
Background:
Primary cardiac non-Hodgkin's lymphoma is rare tumor, accounting for 1.3% of cardiac neoplasia, with very poor prognosis if untreated.
Case Summary:
A 68-year-old man with dyslipidemia presented with 3 weeks of dyspnea and 2 months of chronic cough, and was tachypneic without hemodynamic instability. Computed tomography scan and transthoracic echocardiography showed a 74 × 56-mm right atrial mass attached to the interatrial septum, and was invading the vena cava and compressing the right superior pulmonary vein. Biopsy confirmed a diagnosis of high-grade lymphoma B. Prednisone and chemotherapy (R-CHOP) were initiated. Follow-up computed tomography scan showed reduced mass and less compression of the superior vena cava.
Discussion:
Primary cardiac lymphoma is an extremely rare tumor. Only a handful of cases have been described. There is no defined treatment for this condition.
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