[Diffuse large B-cell lymphoma with heart involvement: the relevance of the multidisciplinary and multiparameter approach].

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Giornale italiano di cardiologia Pub Date : 2024-07-01 DOI:10.1714/4282.42640
Andrea Pennacchioni, Maria Elena Nizzoli, Massimo Roncali, Alberto Bavieri, Durmo Rexhep, Alessandro Navazio, Stefano Luminari, Luigi Tarantini
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引用次数: 0

Abstract

Lymphoma patients are at high risk of cardiovascular events due to anthracycline cardiotoxicity and, in rare cases, related to heart infiltration. The presence of cardiac masses adds further complexity to the management of lymphoma patients beyond myocardial chemotherapy-related toxicity, given possible unpredictable acute complications such as arrhythmias, atrioventricular block, myocardial ischemia, pericardial effusion and cardiac tamponade. Here we describe the clinical presentation and successful multidisciplinary management of diffuse large B-cell lymphoma with multifocal cardiac involvement identified by total body 18FDG positron emission tomography performed at disease staging.

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[心脏受累的弥漫大 B 细胞淋巴瘤:多学科和多参数方法的意义]。
由于蒽环类药物的心脏毒性,以及在极少数情况下与心脏浸润有关,淋巴瘤患者发生心血管事件的风险很高。除了与心肌化疗相关的毒性外,心脏肿块的存在还可能导致心律失常、房室传导阻滞、心肌缺血、心包积液和心脏填塞等不可预知的急性并发症,这进一步增加了淋巴瘤患者治疗的复杂性。在此,我们描述了弥漫大B细胞淋巴瘤的临床表现和多学科治疗的成功案例,该淋巴瘤在疾病分期时通过全身18FDG正电子发射断层扫描发现多灶性心脏受累。
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Giornale italiano di cardiologia
Giornale italiano di cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
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