KMID : 0368120100400020094
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Korean Circulation Journal 2010 Volume.40 No. 2 p.94 ~ p.98
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Primary Cardiac Lymphoma Presenting With Atrioventricular Block
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Cho Sung-Woo
Kang Yun-Jeong Kim Tae-Hoon Cho Sung-Kyun Hwang Mee-Won Chang Won Rhee Kun-Joo Kim Byung-Ok Goh Choong-Won Park Kyoung-Min Kim Jeong-Hoon Byun Young-Sup Yuh Young-Jin
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Abstract
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Primary cardiac lymphomas (PCL) are extremely rare. Clinical manifestations may be variable and are attributed to location. Here, we report on a case of PCL presenting with atrioventricular (AV) block. A 55 year-old male had experienced chest discomfort with unexplained dyspnea and night sweating. His initial electrocardiogram (ECG) revealed a first degree AV block. Along with worsening chest discomfort and dyspnea, his ECG changed to show second degree AV block (Mobitz type I). Computed tomography (CT) scan showed a cardiac mass (about 7 cm) and biopsy was performed. Pathologic finding confirmed diffuse large B-cell lymphoma. The patient was treated with multi-drug combination chemotherapy (R-CHOP: Rituximab, cyclophoshamide, anthracycline, vincristine, and prednisone). After treatment, ECG changed to show normal sinus rhythm with complete remission on follow-up CT scan.
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KEYWORD
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Lymphoma, Large B-cell, Diffuse, Cardiac tumor, Atrioventricular block
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