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KMID : 1149520230070010006
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Cardiovasclar Imaging Asia
2023 Volume.7 No. 1 p.6 ~ p.9
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Non-Hodgkin’s Lymphoma Presenting as Intracardiac Mass: A Rare Presentation
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Caryn Tsujean Lim
Yik Hon Ho
Hwei Sung Ling
Bui Khiong Chung
Grace Wan Chieng Lee
Tze Shin Leong
Yen Yee Oon
Lee Ping Chew
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Abstract
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Primary cardiac lymphoma (PCL) comprises of 1%?2% of primary cardiac tumors. This case report describes a rare case of PCL with rapid disease progression. A 51-year-old female presented with 6 months of dyspnea. Her transthoracic echocardiogram showed a large exudative circumferential pericardial effusion and bi-atrial masses. An endovascular tissue biopsy using intra-cardiac echocardiography guidance enabled the diagnosis of diffuse large B-cell lymphoma. Staging computed tomography staged the disease at Ann Arbor stage IV E. She achieved a complete response to rituximab, cyclophosphamide, hydroxydaunorubicin, vincristine, and prednisolone chemoimmunotherapy.
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KEYWORD
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Non-Hodgkin lymphoma, Diffuse large B-cell lymphoma, Primary cardiac lymphoma, Intra-cardiac echocardiography
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