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Primary Cardiac Diffuse Large B-Cell Lymphoma: Diagnostic Journey of Undifferentiated Right Atrial Mass
Nitish K Dhingra1, Dambuza Nyamande1, Abdulaziz M Alhothali1
1Division of Cardiac Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Insights
Diagnosing undifferentiated cardiac tumors is challenging. This case highlights cardiac lymphoma diagnosis in a 67-year-old woman, emphasizing biopsy
Area of Science:
- Cardiology
- Oncology
- Diagnostic Imaging
Background:
- Undifferentiated cardiac tumors pose significant diagnostic challenges.
- Accurate diagnosis is crucial for appropriate patient management.
Purpose of the Study:
- To present a case of cardiac lymphoma diagnosed in a 67-year-old woman.
- To emphasize the role of biopsy in diagnosing cardiac masses.
Main Methods:
- Multimodality imaging investigation of a right atrial mass.
- Histopathological analysis following biopsy.
Main Results:
- The right atrial mass was diagnosed as cardiac lymphoma.
- Biopsy was essential for definitive diagnosis.
Conclusions:
- Cardiac lymphoma can present as an undifferentiated cardiac mass.
- Transvenous or percutaneous biopsy is vital for diagnosis and management of cardiac tumors.
Abstract:
Undifferentiated cardiac tumors represent a diagnostic dilemma that requires meticulous workup. We present the case of a 67-year-old woman with a right atrial mass that was investigated with multiple modalities before being diagnosed as a cardiac lymphoma. The role of transvenous and/or percutaneous biopsy for guiding diagnosis and management is emphasized.
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