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題名 | Primary Cardiac Lymphoma Presented as Complete Atrioventricular Block and Syncope: A Case Report=原發性心臟淋巴瘤以房室傳導阻斷與昏厥為表現:病例報告 |
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作者 | 張瑋婷; 榮蘊智; 李茂琦; 周立平; Chang, Wei-ting; Jung, Yun-chih; Lee, Mou-chi; Chou, Li-ping; |
期刊 | Medical Journal of South Taiwan |
出版日期 | 20151200 |
卷期 | 11:2 2015.12[民104.12] |
頁次 | 頁78-83 |
分類號 | 415.6、415.6 |
語文 | eng |
關鍵詞 | 原發性心臟淋巴瘤; 房室傳導阻斷; 化療; Primary cardiac lymphoma; Atrioventricular block; Chemotherapy; |
英文摘要 | Primary cardiac lymphoma (PCL) is extremely rare, especially with the uncommon presentation as complete atrioventricular block. It was regarded to have a poor prognosis due to delayed diagnosis and poor general conditions of a patient not able to tolerate aggressive treatments such as chemotherapy, radiotherapy, or even surgical resection. We report an 85-year-old woman with PCL presenting as complete atrioventricular block and syncope. Two huge masses within the right atrium were found by transesophageal echocardiography, but were missed twice by transthoracic echocardiography. The patient was diagnosed with diffuse large B cell lymphoma on the basis of cytology and the immunohistochemical study of the cell block obtained from the pericardial effusion. After the first dose of chemotherapy, the cardiac conduction reversed to first degree atrioventricular block. However, this patient died suddenly after the fourth course of chemotherapy. |
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