Small noncleaved cell lymphoma presenting as a massive pericardial effusion : A case report

Non-Hodgkin's lymphoma (NHL) is commonly associated with cardiac involvement, especially in cases of advanced stages with mediastinal involvement. Much rarer is the initial presentation of NHL as a pericardial effusion; there are only 12 cases reported. In addition, only 5 of these 12 cases wer...

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Veröffentlicht in:Acta cytologica 1996-09, Vol.40 (5), p.999-1002
Hauptverfasser: DUNPHY, C. H, RAMOS, R. R, GALINDO, L. M
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RAMOS, R. R
GALINDO, L. M
description Non-Hodgkin's lymphoma (NHL) is commonly associated with cardiac involvement, especially in cases of advanced stages with mediastinal involvement. Much rarer is the initial presentation of NHL as a pericardial effusion; there are only 12 cases reported. In addition, only 5 of these 12 cases were correctly diagnosed based on examination of pericardial fluid prior to death: 3 were based on routine cytology; 1 on immunoperoxidase staining and 1 on an immunofluorescent slide method. A 71-year-old, white female presented with a massive pericardial effusion. Small noncleaved cell lymphoma was expeditiously diagnosed by cytologic examination combined with flow cytometric immunophenotyping. No further diagnostic tissue was obtained; the patient was staged and offered treatment with a protocol for high grade lymphoma. Combining cytomorphology and flow cytometric immunophenotyping in such cases results in an expeditious, nonsurgical diagnosis, upon which therapeutic decision making may be based.
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ispartof Acta cytologica, 1996-09, Vol.40 (5), p.999-1002
issn 0001-5547
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source MEDLINE; Karger Journals
subjects Aged
Antigens, CD - analysis
Biological and medical sciences
Bone Marrow
Female
Flow Cytometry
Hematologic and hematopoietic diseases
Humans
Immunophenotyping
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphoma, Non-Hodgkin - pathology
Medical sciences
Pericardial Effusion - pathology
title Small noncleaved cell lymphoma presenting as a massive pericardial effusion : A case report
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