WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Sura Adnan Raheem*, Alladin Sahham Naji, Ghazi Farhan Haji and Mahasen M. Abd Al-Majeed

ABSTRACT

Primary malignant cardiac neoplasms are enormously rare including primary cardiac lymphomas which represent only a slight entity. Though the heart in diffuse B cell malignant lymphoma is rare as a primary presentation and involvement, the early diagnosis with suitable therapy will offer a great cure. Herein we report a 39 Years old female with a history of worsening dyspnoea for three weeks. On examination, she had a normal S1, loud S2 with early diastolic murmur at the upper left sternal edge, decreased breathing sounds in the left lung base and hepatosplenomegaly with no peripheral lymphadenopathy. Blood picture revealed an increases erythrocyte sedimentation rate with neutrophilic leucocytosis with a cellular bone marrow result. Chest x-ray showed a widening mediastinum with left pleural effusion. Trans thoracic echocardiography revelled mild pulmonary hypertension, lobulated homogenous cardiac mass in the right ventricle outlet (RVOT) with an extra cardiac mass invading the wall of the RV. The histopathological result of the mediastinal mass biopsy revealed a picture of diffuse large B cell lymphoma of stage IV B. Chemotherapy was started accordingly resulting in considerable improvement of the patient general condition in addition to the dramatic regression in the cardiac mass. But as the patient neglected the treatment, she was ended with septic shock and died because of it.

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