Second Primary Cardiac B-Cell Lymphoma After Radiation Therapy and Chemotherapy: A Case Report

A 76-year-old man was found to have esophageal squamous cell carcinoma and had been treated with radiational therapy and chemotherapy. Five years later, he was readmitted with dyspnea and marked edema of his extremities and face. An echocardiographic examination revealed a mass lesion in the pericar...

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Veröffentlicht in:Angiology 2001-08, Vol.52 (8), p.563-565
Hauptverfasser: Yukiiri, Kazushi, Mizushige, Katsufumi, Ueda, Takashi, Kohno, Masakazu
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container_end_page 565
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container_title Angiology
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creator Yukiiri, Kazushi
Mizushige, Katsufumi
Ueda, Takashi
Kohno, Masakazu
description A 76-year-old man was found to have esophageal squamous cell carcinoma and had been treated with radiational therapy and chemotherapy. Five years later, he was readmitted with dyspnea and marked edema of his extremities and face. An echocardiographic examination revealed a mass lesion in the pericardium with pericardial effusion behind the left ventricular posterior wall, which was near the site of the original esophageal cancer. Coronary arteriography revealed a feeder artery to the mass from the left circumflex branch. No findings indicated a recurrence of the esophageal cancer; cytologic studies showed malignant lymphoma cells of B-cell origin. A second primary cancer of some organs including blood cells might be induced by the carcinogenic effects of ionizing radiation or chemotherapeutic agents. This is the first case of second primary cardiac B-cell lymphoma after combination therapy.
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Five years later, he was readmitted with dyspnea and marked edema of his extremities and face. An echocardiographic examination revealed a mass lesion in the pericardium with pericardial effusion behind the left ventricular posterior wall, which was near the site of the original esophageal cancer. Coronary arteriography revealed a feeder artery to the mass from the left circumflex branch. No findings indicated a recurrence of the esophageal cancer; cytologic studies showed malignant lymphoma cells of B-cell origin. A second primary cancer of some organs including blood cells might be induced by the carcinogenic effects of ionizing radiation or chemotherapeutic agents. 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subjects Aged
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Biopsy, Needle
Carcinoma, Squamous Cell - secondary
Carcinoma, Squamous Cell - therapy
Cardiology. Vascular system
Cisplatin - administration & dosage
Coronary Angiography
Echocardiography, Transesophageal
Esophageal Neoplasms - therapy
Esophagoscopy
Fluorouracil - administration & dosage
Follow-Up Studies
Heart
Heart Neoplasms - diagnosis
Humans
Lymphatic Metastasis
Lymphoma, B-Cell - diagnosis
Male
Medical sciences
Neoplasms, Second Primary - diagnosis
Pericardial Effusion - pathology
Radiotherapy Dosage
Tumors of the heart
title Second Primary Cardiac B-Cell Lymphoma After Radiation Therapy and Chemotherapy: A Case Report
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