Case Reports : Primary cardiac lymphoma presented as 3rd degree AV block and right ventricular failure

Eun Hee Jang,

Korean J Med > Volume 70(2); 2006 > Article

Original Article

The Korean Journal of Medicine 2006;70(2):341-346.

Case Reports : Primary cardiac lymphoma presented as 3rd degree AV block and right ventricular failure

Eun Hee Jang

한림의대 한강성심병원 내과

증례 : 제 3도 방실 차단과 우심실부전의 증상으로 발현한 원발성 심장 림프종 1예

장은희

Abstract

Primary cardiac lymphomas (PCLs), involving solely heart and/or pericardium at presentation, are rare and usually fatal neoplasm due to the advanced stage of myocardial involvement at presentation. We report a case of PCL in a 53-year-old man who complained of abdominal distension, peripheral edema, and dizziness. Electrocardiogram showed 3rd degree AV block and echocardiography revealed a large mass in the right chambers. A diagnosis of diffuse large B-cell lymphoma was obtained by surgically resected tumor and bilateral adrenal mass were noticed on CT scan of abdomen. The patient was treated by systemic chemotherapy with IMVP-16/Pd (ifosfamide, methotrexate, etoposide, predenisolone) after surgical resection and, as a result, achieved near complete remission. PCL should be considered in any patient with a cardiac mass. Our experience indicated that prompt diagnosis and treatment of primary cardiac lymphoma is imperative for survival.(Korean J Med 70:S341-S346, 2006) Key Words : Lymphoma, Arrhythmia, Heart failure