Key result
A 51-year-old man with diffuse large B-cell lymphoma developed a massive lymphomatous pericardial effusion despite complete isotopic remission of mediastinal lymph nodes, and died of septic shock 13 months after diagnosis.
Case Report (n=1)
Highlights the utility of PET-CT scan in diagnosing rare cardiac involvement (lymphomatous pericarditis) in non-Hodgkin's lymphoma.
Vigilance for pericardial involvement remains prudent in DLBCL post-nodal remission; extends sparse case evidence on PET-CT for cardiac lymphoma detection.
Cardiac involvement in non-Hodgkin's lymphoma is a rare occurrence with a dismal prognosis, which may evolve with different clinical presentations, the most frequent being heart failure. Diagnosis of cardiac involvement is generally made by cardiac ultrasound. We report a case of lymphomatous pericarditis in the evolution of a non-Hodgkin's lymphoma, diagnosed by PET-CT scan, and occurring concomitantly with complete isotopic remission of enlarged mediastinal lymph nodes following chemotherapy.
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Bagacean et al. (2015) conducted a case report in Diffuse large B-cell lymphoma with lymphomatous pericarditis (n=1). Chemotherapy and autologous stem cell transplantation was evaluated on Clinical outcome. A 51-year-old man with diffuse large B-cell lymphoma developed a massive lymphomatous pericardial effusion despite complete isotopic remission of mediastinal lymph nodes, and died of septic shock 13 months after diagnosis.
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