Autor: |
Cho SW; Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea., Kang YJ, Kim TH, Cho SK, Hwang MW, Chang W, Rhee KJ, Kim BO, Goh CW, Park KM, Kim JH, Byun YS, Yuh YJ |
Jazyk: |
angličtina |
Zdroj: |
Korean circulation journal [Korean Circ J] 2010 Feb; Vol. 40 (2), pp. 94-8. Date of Electronic Publication: 2010 Feb 23. |
DOI: |
10.4070/kcj.2010.40.2.94 |
Abstrakt: |
Primary cardiac lymphomas (PCL) are extremely rare. Clinical manifestations may be variable and are attributed to location. Here, we report on a case of PCL presenting with atrioventricular (AV) block. A 55 year-old male had experienced chest discomfort with unexplained dyspnea and night sweating. His initial electrocardiogram (ECG) revealed a first degree AV block. Along with worsening chest discomfort and dyspnea, his ECG changed to show second degree AV block (Mobitz type I). Computed tomography (CT) scan showed a cardiac mass (about 7 cm) and biopsy was performed. Pathologic finding confirmed diffuse large B-cell lymphoma. The patient was treated with multi-drug combination chemotherapy (R-CHOP: Rituximab, cyclophoshamide, anthracycline, vincristine, and prednisone). After treatment, ECG changed to show normal sinus rhythm with complete remission on follow-up CT scan. |
Databáze: |
MEDLINE |
Externí odkaz: |
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