Frontiers in Oncology (Apr 2021)

Case Report: Cardiac Involvement by Lymphoma: Rare but Heterogeneous Condition With Challenging Behaviors

  • Elisa Lucchini,
  • Marco Merlo,
  • Marco Merlo,
  • Mario Ballerini,
  • Aldostefano Porcari,
  • Gianfranco Sinagra,
  • Gianfranco Sinagra,
  • Lorenzo Pagnan,
  • Marco Rensi,
  • Andrea Romano,
  • Rossana Bussani,
  • Rossana Bussani,
  • Laura Ballotta,
  • Francesco Zaja,
  • Francesco Zaja

DOI
https://doi.org/10.3389/fonc.2021.665736
Journal volume & issue
Vol. 11

Abstract

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Cardiac lymphomas are rare extranodal lymphomas involving primarily and secondarily the heart and/or pericardium. Here we describe three cases of cardiac involvement from lymphoma with specific peculiarities: two primary cardiac Diffuse Large B-cell Lymphomas and one secondary involvement from Marginal Zone Lymphoma (MZL). The first case highlights the issue of early CNS relapse and the possible role for CNS prophylaxis; the second case demonstrates the difficulties of interpretation and possible mistakes of different radiologic techniques adopted to evaluate cardiac involvement by lymphoma during follow-up; the third is a unique case of MZL with cardiac involvement. Our aim is to share the findings observed in these cases putting them in relation with data from the literature.

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