Primary Cardiac Lymphoma : 1 Case Report

원발성 심장 림프종 : 1례 보고

Primary cardiac lymphoma, defined as involving only the heart and pericardiwn, is very rare and is diagnosed predominantly late in the course of illness or autopsy. This tumor is commonly fatal and until recently were rarely diagnosed antemortem. Recently, it was reported in patients with acquired immunodeficiency syndrome. We report a case of primary cardiac lymphoma in a 56 year old female who showed progressive exertional dyspnea. On echocardiogram and CT scan, a large ill defined mass was demonstrated in right atrial and ventricular wall. It was diagnosed as B-cell type lymphoma on open cardiac biopsy.

심장의 원발성 림프종은 아주 드문 질환이며 예후가 나빠 진단후 2-3주 내에 사망하는 경우가 대부분이다. 저자등은 흔치 않는 심장의 원발성 림프종을 경험하면서 심장에서 종양이 발견되었을 때 신속한 진단을 위해 노력해야 하며, 또한 치료 시기가 예후에 많은 영향을 미치는 림프종을 염두에 두어야 한다고 생각된다.