Primary cardiac lymphoma is an extremely rare malignancy that can present atypically with ischemic hepatitis, requiring a high index of suspicion for antemortem diagnosis.
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Consider primary cardiac lymphoma in unexplained ischemic hepatitis; extends known presentations but leaves open validation in larger cohorts.
Primary cardiac lymphoma is extremely rare and antemortem diagnosis is difficult. Although this malignancy is not uncommonly reported, most patients in the literature typically presented with cardiac signs and symptoms. We described a 21-year-old man who presented initially with ischemic hepatitis but was finally diagnosed as having the tumor. Literature search from 1997 to 2009 revealed 27 cases of the tumor of which the clinical presentations were reviewed.
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Syue et al. (2012) studied this question.
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