[Primary cardiac lymphoma: cytological diagnosis and treatment with response to polychemotherapy and hematopoietic precursor autotransplant. Presentation of a case a review of the literature].

Autor: Porcar Ramells C; Servicio de Medicina Interna, Hospital Universitari de Girona, Dr. Josep Trueta, C/Av. de França, s/n. 17007-Girona., Clemente González C, García Parés D, Guardia Sánchez R, Pérez Ayuso MJ, García-Bragado Dalmau F
Jazyk: Spanish; Castilian
Zdroj: Anales de medicina interna (Madrid, Spain : 1984) [An Med Interna] 2002 Jun; Vol. 19 (6), pp. 305-9.
Abstrakt: The primary cardiac lymphoma (PCL) is an extremely infrequent tumor suffered by immunocompetent patients with a difficult diagnosis and slow progress leading to a serious prognosis and few therapeutically possibilities. It's a primary-cardiac non-Hodgkin's lymphoma (NHL) in a patient of 46-year-old, immunocompetent, who started with a congestive heart failure and atrial flutter. Some examinations were carried out such as a transesophageal echocardiography (TEE), a computed tomography (TC) and a magnetic resonance imaging (MRI) and an intracardiac tumor placed in the interauricular septum was detected. The diagnosis was based on a pleural fluid cytological examination. It was decided to follow a chemotherapy treatment and the autologous peripheral blood stem cells transplantation was carried out. The patient remains in full remission thirty-six months after diagnosis and twenty-nine months after the autotransplant. Our clinical experience indicated that an early and accurate diagnosis combined with the appropriate and aggressive antilymphoma therapy can thus help in obtaining a long survival in patients with PCL.
Databáze: MEDLINE