[Hemodynamically relevant cardiac relapse of diffuse large B-cell lymphoma].

Jan-Niklas Krohn, Christina Bermel, David Nisenbaum, Stefan Knop
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引用次数: 0

Abstract

A 55-year-old female patient presented with a 1-week history of cough, dyspnea, pre-syncopal sensation and a history of asthma and long-lasting complete remission of diffuse large B‑cell lymphoma (LBCL). Imaging revealed a mass measuring 8 × 6.4 × 6.2 cm in the right ventricle and atrium, partially obstructing the cardiac valve plane. Biopsy was performed. With the onset of hemodynamic instability, ex juvantibus antineoplastic therapy was administered. After 36 h, echocardiography already showed a considerable size reduction to approximately 5 × 5 cm. Histology was consistent with relapsed LBCL. Staging showed no further manifestations and salvage therapy was initiated.

弥漫性大b细胞淋巴瘤的血流动力学相关性心脏复发。
55岁女性患者,咳嗽、呼吸困难、晕厥前感觉和哮喘病史1周,弥漫性大B细胞淋巴瘤(LBCL)长期完全缓解。影像显示右心室和心房有一个大小为8 × 6.4 × 6.2 cm的肿块,部分阻塞心脏瓣膜平面。行活检。随着血流动力学不稳定的出现,我们开始了体外抗肿瘤治疗。36 h后,超声心动图已经显示相当大的尺寸缩小到大约5 × 5 cm。组织学与复发性LBCL一致。分期未见进一步表现,开始抢救治疗。
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