[Malignant lymphoma diagnosed by the pericardial biopsy]

Y Hashimoto1, H Fujita, R Sugamura

  • 1First Department of Internal Medicine, School of Medicine, Yokohama City University.

Insights

Malignant lymphoma affecting the heart presented as heart failure and heart block. Gallium scans and pericardial biopsy aided in diagnosing this rare cardiac lymphoma case.

Area of Science:

  • Cardiology
  • Oncology
  • Diagnostic Imaging

Background:

  • Malignant lymphoma involving the pericardium is a rare condition.
  • Cardiac lymphoma can present with diverse and severe cardiovascular symptoms.

Observation:

  • A 69-year-old male presented with heart failure and complete heart block.
  • Imaging revealed significant left pleural effusion and pericardial fluid.
  • Gallium isotope study showed increased uptake in the heart.

Findings:

  • Pericardial biopsy confirmed malignant lymphoma.
  • Chemotherapy led to decreased pleural effusion and normalized gallium uptake.
  • The case highlights diagnostic challenges of antemortem cardiac lymphoma.

Implications:

  • Gallium isotope study is a valuable tool for diagnosing cardiac lymphoma.
  • Pericardial biopsy is crucial for definitive diagnosis.
  • Early diagnosis and treatment can improve outcomes for cardiac lymphoma.