Successful Combined Treatment of Primary Cardiac Malignant Lymphoma With Urgent Cardiac Operation and Chemotherapy

被引:13
作者
Fujita, Yasufumi [1 ]
Ikebuchi, Masahiko [1 ]
Tarui, Sugurli [1 ]
Irie, Hiroyuki [1 ]
机构
[1] Chikamori Hosp, Ctr Heart, Dept Cardiovasc Surg, Kochi 7808522, Japan
关键词
Chemotherapy; Primary cardiac lymphoma; Surgical resection; HEART; TRANSPLANTATION; RESECTION;
D O I
10.1253/circj.CJ-08-0064
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 56-year-old man, suffering from rapidly worsening general fatigue, dyspnea on exercise and epigastralgia, was referred for evaluation and treatment of a cardiac tumor. Transthoracic echocardiography showed a 6-cm large mass occupying both the right ventricle and atrium. Gallium scintigraphy showed high uptake in the tumor site. Lymphoma was highly suggested. Urgent operation was performed and as much tumor and thrombus were removed as possible. The postoperative course was good, with cessation of right heart failure. Pathological examination suggested malignant lymphoma, diffuse large B-cell type. The patient was treated with rituximab, cyclophosphamide, Adriamycin, vincristine, and prednisone (CHOP-R) postoperatively and has survived for 2 years without signs of recurrence. (Circ J 2009; 73: 967-969)
引用
收藏
页码:967 / 969
页数:3
相关论文
共 12 条
[1]  
Ceresoli GL, 1997, CANCER-AM CANCER SOC, V80, P1497, DOI 10.1002/(SICI)1097-0142(19971015)80:8<1497::AID-CNCR18>3.0.CO
[2]  
2-0
[3]   PRIMARY CARDIAC LYMPHOMA - CT AND MR FINDINGS [J].
DORSAY, TA ;
HO, VB ;
ROVIRA, MJ ;
ARMSTRONG, MA ;
BRISSETTE, MD .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1993, 17 (06) :978-981
[4]   Surgical resection of malignant lymphoma in the right atrium after systemic chemotherapy [J].
Igawa, T ;
Nagafuji, K ;
Ejima, J ;
Nakasuga, K ;
Ito, H ;
Kaji, Y ;
Miyamoto, T ;
Harada, M .
INTERNAL MEDICINE, 2003, 42 (04) :336-339
[5]  
LAM KY, 1993, ARCH PATHOL LAB MED, V117, P1027
[6]   Primary cardiac lymphoma:: Helical CT findings and radiopathologic correlation [J].
Lucas, EMT ;
Pagola, MA ;
Fernández, F ;
Lastra, P ;
Delgado, MLR ;
Sádaba, P ;
Pinto, J ;
Ballesteros, MA ;
Ortiz, A .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2004, 27 (02) :190-191
[7]  
MCALLISTER HA, 1978, ATLAS TUMOR PATHOL, P99
[8]   Successful treatment of primary cardiac lymphoma by rituximab-CHOP and high-dose chemotherapy with autologous peripheral blood stem cell transplantation [J].
Nonami, Atsushi ;
Takenaka, Katsuto ;
Kamezaki, Kenjiro ;
Miyamoto, Toshihiro ;
Harada, Naoki ;
Nagafuji, Koji ;
Teshima, Takanori ;
Harada, Mine .
INTERNATIONAL JOURNAL OF HEMATOLOGY, 2007, 85 (03) :264-266
[9]  
Sommers KE, 1996, ANN THORAC SURG, V61, P1001
[10]  
TAKAGI M, 1992, J CARDIOVASC SURG, V33, P570