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KMID : 0368120100400020094
Korean Circulation Journal
2010 Volume.40 No. 2 p.94 ~ p.98
Primary Cardiac Lymphoma Presenting With Atrioventricular Block
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
Abstract
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.
KEYWORD
Lymphoma, Large B-cell, Diffuse, Cardiac tumor, Atrioventricular block
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