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Case Report
Xindao Yin
Nanjing Medical University affiliated Nanjing Hospital: Nanjing First Hospital
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: Primary cardiac lymphoma (PCL) is an extremely rare cardiac tumor and progresses rapidly, which often has short median survival time and poor prognosis unless diagnosed and treated in time.
Case presentation: A 61-year-old man was admitted to hospital with repeated chest tightness and pain for 3 days and the right atrial mass by ultrasonography in the other hospital for 1 day. The echocardiography revealed an irregular hyperechoic mass in the right atrium with the size of the mass is about 5.3cm*4.3cm. Partial resection of right atrial tumor under general anesthesia and cardiopulmonary bypass was performed. After operation, enhanced chest computed tomography (CT) showed a mild enhancement mass in the right atrium. The histopathological examination revealed diffuse large B cell lymphoma. After careful examination, PCL was diagnosed and chemotherapy of low dose R-CHOP for 6 courses were used. After the last course, enhanced CT examination showed that the tumor almost disappeared and the patient's symptoms improved significantly.
Conclusion: PCL is a extraordinarily rare disease with poor prognosis, and it is necessary to improve the awareness of this disease.Prompt diagnosis and timely chemotherapy in combination with surgery could lead to excellent clinical outcomes of the patient with PCL.
Keywords
Primary cardiac lymphoma, chemotherapy, computed Tomography, chemotherapy.
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This is a preprint. It has not completed peer review.
Case Report
Xindao Yin
Nanjing Medical University affiliated Nanjing Hospital: Nanjing First Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 15 Mar, 2021
No community comments so far
Subject Areas
Pathology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Primary cardiac lymphoma (PCL) is an extremely rare cardiac tumor and progresses rapidly, which often has short median survival time and poor prognosis unless diagnosed and treated in time.
Case presentation: A 61-year-old man was admitted to hospital with repeated chest tightness and pain for 3 days and the right atrial mass by ultrasonography in the other hospital for 1 day. The echocardiography revealed an irregular hyperechoic mass in the right atrium with the size of the mass is about 5.3cm*4.3cm. Partial resection of right atrial tumor under general anesthesia and cardiopulmonary bypass was performed. After operation, enhanced chest computed tomography (CT) showed a mild enhancement mass in the right atrium. The histopathological examination revealed diffuse large B cell lymphoma. After careful examination, PCL was diagnosed and chemotherapy of low dose R-CHOP for 6 courses were used. After the last course, enhanced CT examination showed that the tumor almost disappeared and the patient's symptoms improved significantly.
Conclusion: PCL is a extraordinarily rare disease with poor prognosis, and it is necessary to improve the awareness of this disease.Prompt diagnosis and timely chemotherapy in combination with surgery could lead to excellent clinical outcomes of the patient with PCL.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
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