Surgical Resection of Malignant Lymphoma in the Right Atrium after Systemic Chemotherapy

Abstract

A74-year-old manwas referred to us for evaluation of a tumor in the right atrium (RA). Transesophageal echocardiography (TEE) showed an unmovable 50x60 mm mass in the RA. Based on histological findings of subcutaneous tumors in the right abdominal wall, he was diagnosed as malignant lymphoma(ML), and treated with a THP-COPregimen. Upon completion of first THO-COP therapy, TEEshowed marked regression of the mass and division into 3 masses, one of which showed marked floating movementwith a small stalk. To prevent the risk of embolic events, surgical resection was performed.Resected tumors were necrotic tissues. Serial imaging of cardiac tumor and surgical resection is desirable to decrease the possibility of embolic complication. (Internal Medicine 42: 336-339, 2003)

Successful Combined Treatment of Primary Cardiac Malignant Lymphoma With Urgent Cardiac Operation and Chemotherapy

“…Several articles report successful treatment of primary cardiac lymphoma with chemotherapy, 5-8 while others report successful treatment by surgical resection and chemotherapy. [9][10][11] However, Ceresoli et al reported that there is no evidence of survival improvement with surgery. 5 In the present case, right heart failure deteriorated rapidly after referral.…”

Primary Testicular Lymphoma with Cardiac Involvement in an Immunocompetent Patient: Case Report and a Concise Review of Literature

“…23 Surgical resection of tumor may be considered only on a case by case basis. 25 For the case in discussion, surgical approach was considered but not pursued, as the patient responded very promptly to systemic chemotherapy.…”