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KMID : 0882420060700000341
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Korean Journal of Medicine
2006 Volume.70 No. 0 p.341 ~ p.346
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Primary cardiac lymphoma presented as 3rd degree AV block and right ventricular failure
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Jang Eun-Hee
Kim Won-Seog
Kim Seung-Tai
Kang Jung-Hun
Park Keon-Woo
Jung Chul-Won
Park Keun-Chil
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Abstract
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Primary cardiac lymphomas (PCLs), involving solely heart and/or pericardium at presentation, are rare and usually fatal neoplasm due to the advanced stage of myocardial involvement at presentation. We report a case of PCL in a 53-year-old man who complained of abdominal distension, peripheral edema, and dizziness. Electrocardiogram showed 3rd degree AV block and echocardiography revealed large mass in the right chambers. A diagnosis of diffuse large B-cell lymphoma was obtained by surgically resected tumor and bilateral adrenal mass were noticed on CT scan of abdomen. The patient was treated by systemic chemotherapy with IMVP-16/Pd (ifosfamide, methotrexate, etoposide, predenisolone) after surgical resection and, as a result, achieved near complete remission. PCL should be considered in any patient with a cardiac mass. Our experience indicated that prompt diagnosis and treatment of primary cardiac lymphoma is imperative for survival.(Korean J Med 70:S341-S346, 2006)
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KEYWORD
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Lymphoma, Arrhythmia, Heart failure
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