文章摘要

伴心脏浸润的高级别B细胞淋巴瘤1例并文献复习

作者: 1李锦, 1朱文艳, 1华海应, 1高华强, 1王志清, 1周晔, 1张艳, 1吴霜, 1赵莹
1 江南大学附属医院(原无锡三院)血液科,江苏 无锡 214000
通讯: 朱文艳 Email: dsf0110@126.com
DOI: 10.3978/j.issn.2095-6959.2019.12.037

摘要

回顾性分析1例合并心脏浸润的高级别B细胞淋巴瘤诊治经过并对相关文献进行复习。患者经骨髓MICM、骨髓活检、淋巴结活检确诊,增强CT提示心脏浸润,病情进展迅速,接受“RP”方案治疗过程中出现胸闷气急加重,频发房早、短阵房速等心律失常,后出现血压、心率下降,经抢救无效死亡。
关键词: 心脏浸润;淋巴瘤;化学药物治疗

High-grade B-cell lymphoma with cardiac infiltration: A case report and literature review

Authors: 1LI Jin, 1ZHU Wenyan, 1HUA Haiying, 1GAO Huaqiang, 1WANG Zhiqin, 1ZHOU Ye, 1ZHANG Yan, 1WU Shuang, 1ZHAO Ying
1 Department of Hematology, Affiliated Hospital of Jiangnan University (Third People′s Hospital of Wuxi City), Wuxi Jiangsu 214000, China

CorrespondingAuthor: ZHU Wenyan Email: dsf0110@126.com

DOI: 10.3978/j.issn.2095-6959.2019.12.037

Abstract

We analyzed a case of high-grade B-cell lymphoma with cardiac infiltration retrospectively and reviewed interrelated literature. The patient was diagnosed by bone marrow puncture, bone marrow biopsy, contrast-enhanced CT and lymph node biopsy. During receiving RP chemotherapy, patients suffered from acute exacerbation of dyspnea, frequent arrhythmias such as atrial premature beats and paroxysmal atrial tachycardia, and then decreased blood pressure and heart rate, which resulted in death after rescue.
Keywords: cardiac infiltration; lymphoma; chemotherapy