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The diagnosis of primary cardiac lymphoma was facilitated by computed tomographic coronary angiography

Primary cardiac lymphoma (PCL) is a rare entity that leads to fatal symptoms such as serious arrhythmia. The present case was an 80-year-old female with severe dyspnea caused by 30 bpm bradycardia. Computed tomography revealed a tumor invading to the right inferior myocardium. A computed tomographic...

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Autores principales: Nose, Naohiro, So, Tetsuya, Sekimura, Atsushi, Miyata, Takeaki, Yoshimatsu, Takashi, Matsuno, Yasuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4271189/
https://www.ncbi.nlm.nih.gov/pubmed/25527602
http://dx.doi.org/10.1093/jscr/rju137
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author Nose, Naohiro
So, Tetsuya
Sekimura, Atsushi
Miyata, Takeaki
Yoshimatsu, Takashi
Matsuno, Yasuji
author_facet Nose, Naohiro
So, Tetsuya
Sekimura, Atsushi
Miyata, Takeaki
Yoshimatsu, Takashi
Matsuno, Yasuji
author_sort Nose, Naohiro
collection PubMed
description Primary cardiac lymphoma (PCL) is a rare entity that leads to fatal symptoms such as serious arrhythmia. The present case was an 80-year-old female with severe dyspnea caused by 30 bpm bradycardia. Computed tomography revealed a tumor invading to the right inferior myocardium. A computed tomographic coronary angiography (CTCA) study revealed the right coronary artery penetrating the tumor with no invasion by the surrounding tumor. Because a percutaneous biopsy was unsuccessful, video-assisted thoracic surgery (VATS) was performed. The final pathological diagnosis was diffuse large B cell lymphoma. Rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisolone (R-CHOP) chemotherapy reduced the size of the tumor, and the symptoms thereafter improved. An observation of the coronary artery penetrating the tumor without tumor invasion may be a characteristic finding of PCL. CTCA is useful to detect this finding. When a percutaneous biopsy is unavailable, VATS should be considered as a minimally invasive procedure to obtain a reliable diagnosis of PCL.
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spelling pubmed-42711892015-01-08 The diagnosis of primary cardiac lymphoma was facilitated by computed tomographic coronary angiography Nose, Naohiro So, Tetsuya Sekimura, Atsushi Miyata, Takeaki Yoshimatsu, Takashi Matsuno, Yasuji J Surg Case Rep Case Reports Primary cardiac lymphoma (PCL) is a rare entity that leads to fatal symptoms such as serious arrhythmia. The present case was an 80-year-old female with severe dyspnea caused by 30 bpm bradycardia. Computed tomography revealed a tumor invading to the right inferior myocardium. A computed tomographic coronary angiography (CTCA) study revealed the right coronary artery penetrating the tumor with no invasion by the surrounding tumor. Because a percutaneous biopsy was unsuccessful, video-assisted thoracic surgery (VATS) was performed. The final pathological diagnosis was diffuse large B cell lymphoma. Rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisolone (R-CHOP) chemotherapy reduced the size of the tumor, and the symptoms thereafter improved. An observation of the coronary artery penetrating the tumor without tumor invasion may be a characteristic finding of PCL. CTCA is useful to detect this finding. When a percutaneous biopsy is unavailable, VATS should be considered as a minimally invasive procedure to obtain a reliable diagnosis of PCL. Oxford University Press 2014-12-19 /pmc/articles/PMC4271189/ /pubmed/25527602 http://dx.doi.org/10.1093/jscr/rju137 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2014. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Nose, Naohiro
So, Tetsuya
Sekimura, Atsushi
Miyata, Takeaki
Yoshimatsu, Takashi
Matsuno, Yasuji
The diagnosis of primary cardiac lymphoma was facilitated by computed tomographic coronary angiography
title The diagnosis of primary cardiac lymphoma was facilitated by computed tomographic coronary angiography
title_full The diagnosis of primary cardiac lymphoma was facilitated by computed tomographic coronary angiography
title_fullStr The diagnosis of primary cardiac lymphoma was facilitated by computed tomographic coronary angiography
title_full_unstemmed The diagnosis of primary cardiac lymphoma was facilitated by computed tomographic coronary angiography
title_short The diagnosis of primary cardiac lymphoma was facilitated by computed tomographic coronary angiography
title_sort diagnosis of primary cardiac lymphoma was facilitated by computed tomographic coronary angiography
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4271189/
https://www.ncbi.nlm.nih.gov/pubmed/25527602
http://dx.doi.org/10.1093/jscr/rju137
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