Cardiac Malignant Lymphoma with Diffuse Extension to the Left Ventricle.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Internal Medicine Pub Date : 2025-03-01 Epub Date: 2024-07-25 DOI:10.2169/internalmedicine.3943-24
Daichi Terunuma, Masanobu Miura, Ko Teshima, Yuta Kagaya, Hiroki Saito, Kenjiro Sato, Masanori Kanazawa, Masateru Kondo, Hideaki Endo, Kazunori Murai, Tsutomu Sakuma, Akihiro Nakamura
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Abstract

Malignant cardiac lymphoma is rare and commonly involves nodules on the right side of the heart. We herein report a case of malignant cardiac lymphoma with diffuse extension into the left ventricle. The patient was a woman in her 60s who complained of dyspnea and malaise. Echocardiography revealed left ventricular hypertrophy (LVH), and magnetic resonance imaging revealed diffuse contrast enhancement on delayed contrast. Cardiac catheterization and a myocardial biopsy suggested heart failure due to cardiac malignant lymphoma, and diastolic dysfunction was mild despite LVH. The patient underwent chemotherapy, and her cardiac function improved and was maintained.

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心脏恶性淋巴瘤弥漫性扩展至左心室:病例报告。
恶性心脏淋巴瘤非常罕见,通常累及心脏右侧的结节。我们在此报告一例弥漫性扩展至左心室的恶性心脏淋巴瘤病例。患者是一名 60 多岁的女性,主诉呼吸困难和乏力。超声心动图显示左心室肥厚(LVH),磁共振成像显示延迟造影剂弥漫性对比增强。心导管检查和心肌活检提示心脏恶性淋巴瘤导致心力衰竭,尽管左心室肥厚,但舒张功能障碍轻微。患者接受了化疗,心功能得到了改善和维持。
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来源期刊
Internal Medicine
Internal Medicine 医学-医学:内科
CiteScore
1.90
自引率
8.30%
发文量
0
审稿时长
2.2 months
期刊介绍: Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.
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