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Multiple intracardiac tumors secondary to non-Hodgkin lymphoma

Abstract

Primary tumors of the heart are rare and are usually benign. Disseminated malignancies and lymphomas rarely involve the heart. Non-Hodgkin lymphomas (NHL) are one of the common hematological malignancies that can affect the heart usually in the form of pericardial effusion. Involvement as intracardiac masses in NHL is extremely rare and usually described in autopsy series. We report a case of NHL and massive intracardiac involvement diagnosed on echocardiographic assessment. Primary cardiac NHL is extremely rare and accounts for 1–2 % of primary cardiac tumors involving the right versus left atrium at a ratio of about 8:1 (Ceresoli et al., Cancer 80:1497–1506, 1997; Delmas-Marsalet et al., Nouv Rev Fr Hematol 37:223–230, 1995). The intracardiac secondaries in NHL are extremely rare. They are usually described in autopsy series. We report the detection of secondaries in the cardiac chambers, on interatrial septum and in atrioventricular groove, diagnosed by transthoracic echocardiography.

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Compliance with ethical standards

Conflict of interest

I. B. Vijayalakshmi, Somashekhara Govindappa, Chitra Narasimhan, C.N. Manjunath declare that they have no conflicts of interest.

Human rights statements and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000(5). Informed consent was obtained from the patient for being included in the study.

Author information

Correspondence to I. B. Vijayalakshmi.

Electronic supplementary material

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Video 2 Modified biventricular view showing mass in AV groove with mild pericardial effusion with masses also seen in left ventricle, right atrium, and right ventricle. (MPG 176 kb)

Video 1 Apical four-chamber view showing large pedunculated, highly mobile, dense echogenic irregular masses from the apex of the left ventricle and masses are also seen in the left atrium, right ventricle, and on the interatrial septum. (AVI 627 kb)

Video 2 Modified biventricular view showing mass in AV groove with mild pericardial effusion with masses also seen in left ventricle, right atrium, and right ventricle. (MPG 176 kb)

Video 3 Modified apical four-chamber view showing large pedunculated, highly mobile dense, echogenic irregular masses in the left ventricle, and masses are also seen in left atrium and right atrium. (AVI 555 kb)

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Vijayalakshmi, I.B., Govindappa, S., Narasimhan, C. et al. Multiple intracardiac tumors secondary to non-Hodgkin lymphoma. J Echocardiogr 13, 113–115 (2015) doi:10.1007/s12574-015-0253-5

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Keywords

  • Mass
  • Secondaries
  • Effusion
  • Antemortem