Non-Hodgkin’s Lymphoma Presenting as Intracardiac Mass : A Rare Presentation

Caryn Tsujean, Lim and Ho, Yik Hon and Ling, Hwei Sung and Chung, Bui Khiong and Grace Lee, Wan Chieng and Leong, Tze Shin and Oon, Yen Yee and Chew, Lee Ping (2023) Non-Hodgkin’s Lymphoma Presenting as Intracardiac Mass : A Rare Presentation. Cardiovasc Imaging Asia, 7 (1). pp. 6-9. ISSN 2508-7088

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Abstract

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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