Treatment Decisions in Geriatric Cardiac Lymphoma Facilitated by Serial Cardiac Magnetic Resonance Imaging and Positron Emission Tomography

被引:0
作者
Pollak, P. Timothy [1 ,2 ]
Brar, Gurbir [1 ]
Poinen, Krishna [1 ]
Lydell, Carmen P. [2 ,3 ]
机构
[1] Univ Calgary, Dept Med, Cummings Sch Med, Calgary, AB, Canada
[2] Univ Calgary, Cummings Sch Med, Cardiac Sci, Calgary, AB, Canada
[3] Univ Calgary, Cummings Sch Med, Diagnost Imaging, Calgary, AB, Canada
关键词
D O I
10.1016/j.cjco.2019.03.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A tumour encasing the right coronary was identified on computed tomography pulmonary embolism protocol in an 81-year-old man. Concerns regarding tolerability of chemotherapy in an octogenarian were addressed using cardiac magnetic resonance imaging to monitor a trial of modified-chemotherapy for his primary cardiac B-cell lymphoma. Residual activity on positron emission tomography computed tomography mandated consolidation with radiotherapy to achieve a tumor-free return to health. Despite advanced age, successful therapy in this, the oldest case of primary cardiac lymphoma reported, was facilitated by monitoring treatment effectiveness with advanced cardiac imaging and the use of standardized frailty scores in communicating his appropriate level of robustness for tolerating chemotherapy.
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收藏
页码:153 / 157
页数:5
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