Case report: multimodality imaging to diagnose cardiac diffuse large B-cell lymphoma. Issue 5 (7th May 2021)

• Record Type: Journal Article
• Authors: Alansari, Yahya E; Yudhistiara, Brian; Michel, René P; Elstein, Eleanor
• Editors: Dias, Andre; Akleh, Subhi; Arcari, Luca; Baghdasaryan, Lilit; Mukherjee, Rahul; Ranganathan, Deepti
• Is Part Of: European heart journal. Volume 5:Issue 5(2021)
• Publication Date: 2021-05-07
• Subjects: Cardiac lymphoma -- Cardiac MRI -- Echocardiography -- Primary cardiac tumour; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/ytab172
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: Background: Primary cardiac lymphoma (PCL) is rare and can present with a wide variety of clinical symptoms, frequently leading to a delay in diagnosis. Case summary: We report a case of a PCL in an 81-year-old man. Cardiac magnetic resonance imaging showed multiple masses in the right atrium and a mass in the right ventricular outflow tract extending to the pulmonary artery. Biopsy revealed a diffuse large B-cell lymphoma. The patient also had metastases to the liver and lung on the positron emission tomography–computed tomography (PET–CT) scan. He was treated with R-CHOP chemotherapy, with complete remission documented PET–CT scans. Conclusion: Although most patients with PCL die before chemotherapy can be initiated, a timely diagnosis can result in a favourable outcome.