UMMS Affiliation
Department of Medicine
Publication Date
2018-07-25
Document Type
Article
Disciplines
Cardiovascular Diseases | Diagnosis | Hematology | Hemic and Lymphatic Diseases | Neoplasms | Pathological Conditions, Signs and Symptoms | Tissues
Abstract
Primary cardiac lymphoma (PCL) is a rare disease entity that can present with severe cardiac and cardioembolic symptoms. We present a 79-year-old male with history of polymalgia rheumatica on chronic prednisone who presented with a two-week history of progressively worsening dyspnea, cough, and a 10 pound weight loss. Transthoracic echocardiogram (TTE) and computed tomography (CT) of the chest showed a large mediastinal mass with invasion of the pericardium. A biopsy of an abdominal soft-tissue mass confirmed the diagnosis of PCL. The patient was treated with two cycles of rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) which was complicated by progressive heart failure requiring substitution of liposomal doxorubicin. The epidemiology, presentation, diagnosis, and treatment options of PCL are discussed.
Rights and Permissions
Copyright © 2018 Lauren Mendelson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI of Published Version
10.1155/2018/6192452
Source
Case Rep Hematol. 2018 Jul 25;2018:6192452. doi: 10.1155/2018/6192452. eCollection 2018. Link to article on publisher's site
Journal/Book/Conference Title
Case reports in hematology
Related Resources
PubMed ID
30147970
Repository Citation
Mendelson, Lauren; Hsu, Emily; Chung, Hojune; and Hsu, Andrew, "Primary Cardiac Lymphoma: Importance of Tissue Diagnosis" (2018). Open Access Articles. 3556.
https://escholarship.umassmed.edu/oapubs/3556
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Included in
Cardiovascular Diseases Commons, Diagnosis Commons, Hematology Commons, Hemic and Lymphatic Diseases Commons, Neoplasms Commons, Pathological Conditions, Signs and Symptoms Commons, Tissues Commons