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1994-10-25
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Document 3001
DOCN M94A3001
TI Two cases of primary intracavitary cardiac lymphoma in immunocompromised
patient.
DT 9412
AU Trylesinski A; Troisvallets D; Ghanem M; Godard S; Nizou R; Service de
Medecine Interne, Centre Hospitalier, Gonesse,; France.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):176 (abstract no. PB0130). Unique
Identifier : AIDSLINE ICA10/94369574
AB 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.
DE Acquired Immunodeficiency Syndrome/PATHOLOGY/*ULTRASONOGRAPHY Adult
Case Report *Echocardiography Fatal Outcome Heart
Atrium/PATHOLOGY/ULTRASONOGRAPHY Heart
Neoplasms/PATHOLOGY/*ULTRASONOGRAPHY Human HIV Seronegativity
Lymphoma, AIDS-Related/PATHOLOGY/*ULTRASONOGRAPHY Male Pericardial
Effusion/PATHOLOGY/ULTRASONOGRAPHY Pleural Effusion,
Malignant/PATHOLOGY/ULTRASONOGRAPHY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).