33. Cardiac lymphoma misdiagnosed with pulmonary artery dissection
Main Article Content
Abstract
Lymphoma is a fairly rare disease with systemic, subclinical clinical manifestations that can easily be confused with other diseases. We report a case of rare cardiac lymphoma with clinical manifestations. Clinical and laboratory findings are similar to those of patients with spontaneous pulmonary artery dissection. However, a definitive diagnosis was made only after performing a thoracotomy and a pathological biopsy. Macroscopic imaging during thoracotomy showed a large tumor invading the aorta, pulmonary artery and other tissues with metastases to the mandibular ganglion and a few small tumors in the right atrium. Microscopic images on histopathology and immunohistochemistry results confirmed the diagnosis of Grade I Follicular Lymphoma.
Article Details
Keywords
cardiac lymphoma, pulmonary artery dissection
References
2. Antoniades L, Eftychiou C, Petrou PM, et al. Primary cardiac lymphoma: Case report and brief review of the literature. Echocardiogr Mt Kisco N. 2009;26(2):214-219. doi: 10.1111/j.1540-8175.2008.00757.x.
3. Didier K A, Martin K, Eric B, et al. Pulmonary Artery Dissection: A Case Treated by Homograft Replacement. Ann Thorac Surg. 2017;103(1):47-49. doi: 10.1016/j.athoracsur.2016.06.052.
4. Zhang C, Huang X, Li S, Yao H, Zhang B. Pulmonary Artery Dissection: A Fatal Complication of Pulmonary Hypertension. Case Rep Med. 2016;2016:4739803. doi: 10.1155/2016/4739803.
5. Senbaklavaci O, Kaneko Y, Bartunek A, et al. Rupture and dissection in pulmonary artery aneurysms: incidence, cause, and treatment--review and case report. J Thorac Cardiovasc Surg. 2001;121(5):1006-1008. doi: 10.1067/mtc.2001.112634.
6. Y Inayama, Y Nakatani, H Kitamura. Pulmonary artery dissection in patients without underlying pulmonary hypertension. Histopathology. 2001;38. doi: 10.1046/j.1365-2559.2001.01129.x.
7. Dinesh Malcolm G F, Solokara Mudiyanselage N K T, Chathula Ushari W. Pulmonary artery dissection - A review of 150 cases. Heart Lung. 2019;48(5):428-435. doi: 10.1016/j.hrtlng.2019.02.007.
8. Zaharia L, Gill PS. Primary cardiac lymphoma. Am J Clin Oncol. 1991;14(2):142-145. doi: 10.1097/00000421-199104000-00009.
9. Kosuda S, Kusano S, Ohsuzu F. Primary myocardial lymphoma demonstrated by Tl-201, Tc-99m sestamibi, and Ga-67 SPECT. Clin Nucl Med. 1998;23(7):482-483. doi: 10.1097/00003072-199807000-00023.
10. Jonavicius K, Salcius K, Meskauskas R, et al. Primary cardiac lymphoma: two cases and a review of literature. J Cardiothorac Surg. 2015;10:138. doi: 10.1186/s13019-015-0348-0.
11. R A Majano-Lainez. Cardiac tumors: A current clinical and pathological perspective. Crit Rev Oncog. 1997;8(4):293-303. doi: 10.1615/critrevoncog.v8.i4.10.
12. Meng Q, Lai H, Lima J, et al. Echocardiographic and pathologic characteristics of primary cardiac tumors: A study of 149 cases. Int J Cardiol. 2002;84(1):69-75. doi: 10.1016/s0167-5273(02)00136-5.
13. Deirdre O, Richard L P, W Patricia B. Cardiac Involvement with Lymphoma: A Review of the Literature. Clin Lymphoma Myeloma. 2008;8(4):249-252. doi: 10.3816/CLM.2008.n.034.
14. Zhen J W, Gautham P R, Michael B G. CT and MR Imaging of Pericardial Disease. RadioGraphics. 2003;23(1):167-180. https://doi.org/10.1148/rg.23si035504.
15. John D N, Jorge A C, Richard F L. Fluorodeoxyglucose positron emission tomography in the presence of cardiac metastases. Clin Nucl Med. 2003;28(12):979-80. doi: 10.1097/01.rlu.0000099808.30653.06.
16. Ajam F, Batchu P, Wiseman K, et al. Primary Cardiac Lymphoma: A Case Report. J Med Cases. 2021;12(11):433-437. doi: 10.14740/jmc.v12i11.3773.
17. Habertheuer A, Ehrlich M, Wiedemann D, et al. A rare case of primary cardiac B cell lymphoma. J Cardiothorac Surg. 2014;9:14. doi: 10.1186/1749-8090-9-14.
18. Aledavood SA, Emadi Torghabeh A, Homaee Shandiz F, et al. Cardiac Involvement in Non-Hodgkin Lymphoma, an Incidental Large Atrial Mass: A Case Report. Iran J Cancer Prev. 2015;8(5):e3913. doi: 10.17795/ijcp-3913.