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Autopsy case of cardiac mantle cell lymphoma presenting with recurrent pulmonary tumor embolism after chemotherapy. | LitMetric

AI Article Synopsis

  • An elderly Japanese man diagnosed with pleomorphic mantle cell lymphoma (MCL) exhibited severe symptoms and had tumors affecting multiple organs, including the heart.
  • Despite a stable hemodynamic condition, chemotherapy was initiated, but he subsequently developed recurrent pulmonary embolisms (PEs) and passed away shortly after.
  • This case underscores the importance of collaborative care between hematologists and cardiologists for managing rare cases of cardiac MCL and suggests preventive surgery may be necessary due to the risks associated with cardiac tumor mobility.

Article Abstract

A 78-year-old Japanese man presented to the emergency department with a sore throat and fever that worsened over 3 weeks. A tonsil biopsy led to the diagnosis of pleomorphic mantle cell lymphoma (MCL) that had infiltrated the right adrenal gland, inferior vena cava, and right atrium (RA). Although the patient's cardiac tumor had high mobility, his hemodynamic state was stable, and he did not present with fatal arrhythmia. Therefore, we first introduced chemotherapy. However, the patient developed recurrent pulmonary embolisms (PEs) and died after starting chemotherapy. An autopsy revealed that the MCL had invaded the large vessels, causing the PEs. Although the high mobility of cardiac tumors is known to increase the risk of PE in diffuse large B-cell lymphoma (DLBCL), optimal management of cardiac MCL remains to be elucidated owing to its rarity. To the best of our knowledge, this is the first report of cardiac MCL with posttreatment PE development in a Japanese patient. It is worth considering preventive surgery before treatment not only in DLBCL, but also in MCL based on the mobility of the cardiac tumors. Our case highlights the need for close communication between hematologists and cardiologists to treat cardiac MCL.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528258PMC
http://dx.doi.org/10.3960/jslrt.24024DOI Listing

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