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Original Article
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Korean J Med. 2009;77(2):445-450.
- 상대정맥 증후군 및 동서맥을 동반한 원발성 심장림프종 1예
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장정윤, 이재진, 한재준, 최소영, 맹치훈, 백선경, 곽영태
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- A case of primary cardiac lymphoma with superior vena cava syndrome and sinus bradycardia
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Jeong Yoon Jang, Jae Jin Lee, Jae Joon Han, Soyoung Choi, Chi Hoon Maeng, Sun Kyung Baek, Young-Tae Kwak
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- Abstract
- We report a case of primary cardiac lymphoma (PCL) with superior vena cava syndrome and sinus bradycardia. PCL accounts for 1.3% of primary cardiac tumors. The clinical manifestations of PCL are mainly pericardial effusion, heart failure, and atriculoventricular block. Primary cardiac lymphoma has poor prognosis; therefore, early diagnosis and treatment are recommended for better outcome. We report a case of PCL in a 71-year-old woman who had worsening dyspnea and facial edema. Initial electrocardiography showed sinus bradycardia. Color Doppler imaging and chest computed tomography revealed a large right-atrial mass that extended to the superior and inferior vena cava, with pericardial and pleural effusion. The tumor was partially resected. The pathological diagnosis was diffuse large B-cell lymphoma with expression of CD20. After tumor resection, the patient was treated by systemic chemotherapy with CHOP (cyclosphosphamide, doxorubicin, vincristine, and prednisone) plus rituximab.
Keywords :Lymphoma, Superior vena cava syndrome, Bradycardia
