Abstract

PORCAR RAMELLS, C. et al. Primary cardiac lymphoma: antemortem cytologic diagnosis and treatment with a response to polychemotherapy and the autologous peripheral blood stem cells transplantation. Presentation of one case report and review of the literature. An. Med. Interna (Madrid) [online]. 2002, vol.19, n.6, pp.45-51. ISSN 0212-7199.

The primary cardiac lymphoma (PCL) is an extremely infrequent tumor suffered by immunocompetents patients with a difficult diagnosis and slow progress leading to a serious prognosis and few therapeutically possibilities. It's a primary-cardiac non-Hodgkin's lymphoma (NHL) in a patient of 46-year-old, immunocompetent, who started with a congestive heart failure and atrial flutter. Some examinations were carried out such as a transesophageal echocardiography (TEE), a computed tomography (TC) and a magnetic resonance imaging (MRI) and an intracardiac tumor placed in the interauricular septum was detected. The diagnosis was based on a pleural fluid cytological examination. It was decided to follow a chemotherapy treatment and the autologous peripheral blood stem cells transplantation was carried out. The patient remains in full remission thirty-six months after diagnosis and twenty-nine months after the autotransplant. Our clinical experience indicated that an early and accurate diagnosis combined with the appropriate and aggressive antilymphoma therapy can thus help in obtaining a long survival in patients with PCL.

Keywords : Primary cardiac lymphoma; Diagnosis; Prognosis; Treatment.

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