The role of cardiac CT and MRI in the diagnosis and management of primary cardiac lymphoma: A comprehensive review

Asadian, Sanaz; Rezaeian, Nahid; Hosseini, Leila; Toloueitabar, Yaser; Komasi, Mohammad Mehdi Hemmati

doi:10.1016/j.tcm.2021.08.010

Cited by 16 publications

(9 citation statements)

References 127 publications

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“…Most PCL are derived from B cells, and a few are derived from T cells ( 7 , 8 ). Furthermore, PC-DLBCL is considered the most common histologic subtype of PCL, accounting for approximately 63%–85% of all PCLs ( 9 – 12 ).…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Atypical location of primary cardiac lymphoma in the left heart with atypical clinical presentation: A case report and literature review

et al. 2023

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BackgroundPrimary cardiac lymphoma (PCL) is a rare and aggressive cardiac tumor with very poor prognosis that occurs mostly in the right cardiac cavity. Early diagnosis and treatment may improve its prognosis. In the present report, we describe the diagnosis and treatment of a primary cardiac diffuse large B-cell lymphoma (PC-DLBCL) with atypical location and clinical presentation. Additionally, a literature review was conducted to summarize the current knowledge of the disease.Case PresentationA 71-year-old man visited his local hospital because of syncope, recurrent chest tightness, shortness of breath, palpitations, and profuse sweating for more than 20 days. Chest radiography revealed a mediastinal mass. Cardiac computed tomography (CT) showed multiple enlarged mediastinal lymph nodes. Transthoracic echocardiography (TTE) showed a cardiac mass in the posterior–inferior wall of the left atrium. He was then transferred to our hospital for positron emission tomography-CT (PET-CT) which showed active uptake of fluorodeoxyglucose both in the cardiac mass and in the multiple enlarged mediastinal lymph nodes. Biopsy of the enlarged mediastinal lymph nodes was carried out by using video-assisted thoracic surgery (VATS) technique, and pathological examination confirmed the subtype of PC-DLBCL, Stage IV, NCCN IPI 3. Therefore, the patient received a combination of chemotherapy and immunotherapy with R-CDOP (rituximab, cyclophosphamide, liposome doxorubicin, vincristine, and prednisone). After four courses of treatment in 4 months, the cardiac lymphoma and the enlarged mediastinal lymph nodes achieved complete remission with mild side effects of the chemotherapy.ConclusionEarly diagnosis and a precise choice of chemotherapy and immunotherapy based on cardiac imaging and pathological examination may improve the prognosis of PC-DLBCL in an atypical location.

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Atypical location of primary cardiac lymphoma in the left heart with atypical clinical presentation: A case report and literature review

et al. 2023

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“…scanning, which is unsuitable for patients with critical illness and a contrast agent allergy (25). Cardiac CT Angiography (CCTA) is relatively non-invasive.…”

Section: Serological Examination One Of the Auxiliary Diagnostic Methodsmentioning

confidence: 99%

Current status of diagnosis and treatment of primary benign cardiac tumors in children

Sheng

Yang²,

Cheng³

et al. 2022

Front. Cardiovasc. Med.

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Primary cardiac tumors in children are exceedingly rare overall, which benign account for most part. The onset of the disease is occult, while the clinical manifestations are non-specific-patients may be asymptomatic or show a range of obstructive, arrhythmic, embolic or systemic symptoms. The clinical presentations generally depend on the tumors’ size, localization, and pace of growth of the tumor. Moreover, the diagnosis needs comprehensive judgment based on imaging results and pathological examination. With advances in cardiac imagining and the introduction of cardiopulmonary support, the diagnosis and treatment of these rare tumors have improved the prognosis and outlook for benign tumors. To sum up the above, we sought to integrate articles from recent years for the latest comprehensive review of the clinical manifestations, imaging characteristics, clinic pathologic features and treatment of benign cardiac tumors in children to provide a broader idea for pediatricians to recognize and treat such diseases.

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“…The RA involvement, pericardial effusion and LGE may lead to the misdiagnosis of cardiac lymphoma 1. However, no involvement of the lymphatic system was found.…”

Section: Answer: Cmentioning

confidence: 98%

A 64-year-old woman with right atrial mass

Yue

Chen

2022

Heart

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The role of cardiac CT and MRI in the diagnosis and management of primary cardiac lymphoma: A comprehensive review

Cited by 16 publications

References 127 publications

Atypical location of primary cardiac lymphoma in the left heart with atypical clinical presentation: A case report and literature review

Atypical location of primary cardiac lymphoma in the left heart with atypical clinical presentation: A case report and literature review

Current status of diagnosis and treatment of primary benign cardiac tumors in children

A 64-year-old woman with right atrial mass

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