Trylesinski A, Troisvallets D, Ghanem M, Godard S, Nizou R; International Conference on AIDS.
Int Conf AIDS. 1994 Aug 7-12; 10: 176 (abstract no. PB0130).
Service de Medecine Interne, Centre Hospitalier, Gonesse, France.
Primary cardiac lymphoma is rare with frequency at autopsy of 0.001-6%. Sixty cases were reported before 1985 and 11 cases in AIDS in the past 3 years. Intracavitary masses are the least commun: 5 to 9%; we report 2 cases. A 30 years old African man presented fever, chest pain and weight loss. Inflammatory pattern without anemia and HVC antibody was found. HIV antibody was negative. Echocardiography revealed right atrial masse with pericardial effusion. Anatomopathological study of mediastinal adenopathy confirmed non-hodgkin lymphoma. Chemiotherapy was given with remission 5 months later. A 35 years old IVDU presented clinical signs of global cardiac failure with abdominal and pleural effusion. Inflammatory pattern with 7 g/dl of hemoglobin, hypoalbuminemia, cholestatic perturbation and positive HIV antibody was found. CD4 cells count was nul. Echocardiography revealed masses of right and left atrium. Cytological study of effusion showed dismitotic cells mimicking lymphoma. Patient died without any treatment. No other lymphomatus localisation was detected. Echocardiography is simple, non invasive, and not expensive method. It shows wall motion, abnormality and intracavity masses. Most diagnosis are made at autopsy, transvenous biopsy may be a method of making diagnosis.
Publication Types:
Keywords:
- Autopsy
- Echocardiography
- Heart Atria
- Heart Neoplasms
- Humans
- Lymphoma
- Lymphoma, Non-Hodgkin
- Male
- Pericardial Effusion
- Pleural Effusion
- Pleural Neoplasms
- Respiratory Tract Neoplasms
- Thymus Neoplasms
- ultrasonography
Other ID:
UI: 102208400
From Meeting Abstracts