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[Surgical treatment for primary cardiac malignant lymphoma]
T Kimura1, H Yoshizu, N Hatori
1Department of Surgery II, National Defense Medical College, Saitama, Japan.
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|April 1, 1997
Summary
A rare case of cardiac malignant lymphoma in a 60-year-old woman was treated with surgery, radiation, and chemotherapy. Despite initial success, the lymphoma ultimately spread, leading to respiratory distress and death.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Malignant lymphoma is a rare cardiac tumor.
- Early diagnosis and treatment are crucial for managing cardiac tumors.
Observation:
- A 60-year-old woman presented with palpitations and was diagnosed with ventricular tachycardia.
- Echocardiography revealed a cardiac tumor in the right ventricle and atrium, obstructing blood flow.
- The tumor was surgically resected and diagnosed as malignant lymphoma.
Findings:
- Post-operative radiation therapy initially reduced the lymphoma size.
- Systemic metastasis occurred six months post-surgery, requiring chemotherapy.
- Chemotherapy showed initial effectiveness but was ultimately overcome by rapid disease progression.
Implications:
- This case highlights the aggressive nature of cardiac malignant lymphoma.
- Multimodal treatment approaches including surgery, radiation, and chemotherapy are necessary.
- Despite aggressive treatment, advanced cardiac lymphoma carries a poor prognosis, emphasizing the need for novel therapeutic strategies.