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경식도 초음파 유도에 의한 경정맥 생검을 통해 진단된 심장의 원발성 악성 림프종 1예

Other Titles
 A Case Report of Primary Cardiac Lymphoma : Diagnosis by Transvenous Biopsy under Transesophageal Echocardiographic Guidance 
 장혁재  ;  강석민  ;  임세중  ;  최동훈  ;  고충원  ;  김종윤  ;  하종원 
 Korean Circulation Journal (순환기), Vol.29(8) : 828-832, 1999 
Journal Title
 Korean Circulation Journal (순환기) 
Issue Date
Primary cardiac lymphoma ; Transesophageal echocardiography ; Chemotherapy.
Primary cardiac lymphomas diagnosed antemortem are extremely rare. We present a case of primary cardiac lymphma diagnosed antemortem by transvenous biopsy under transesophageal echocardiographic guidance. The patient who was a 62 years old male presented with facial edema, dyspnea on exertion and syncope. The chest X-ray film showed double contour at right cardiac border and the ECG showed marked sinus bradycardia. Transesophageal echocardiography (TEE), chest computed tomography (CT) and magnetic resonance imaging (MRI) showed intracardiac tumor of right atrium, invasing interatrial septum and inlets of superior and inferior vena cava and lateral wall of right atrium. Abdominopelvic CT and bone scan failed to show any extracardiac location. Transvenous biopsy confirmed the diagnosis of malignant lymphoma (diffuse large cell, B cell type). After chemotherapy was begun, the tumor makedly shrunk and symptoms resolved. Primary cardiac lymphoma is extremely rare and almost uniformly fatal, but this case showed that early diagnosis and intensive chemotherapy might contribute to a better prognosis for patients with malignant lymphoma of the heart
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seok Min(강석민) ORCID logo https://orcid.org/0000-0001-9856-9227
Kim, Jong Youn(김종윤) ORCID logo https://orcid.org/0000-0001-7040-8771
Rim, Se Joong(임세중) ORCID logo https://orcid.org/0000-0002-7631-5581
Chang, Hyuk-Jae(장혁재) ORCID logo https://orcid.org/0000-0002-6139-7545
Chung, Nam Sik(정남식)
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
Ha, Jong Won(하종원) ORCID logo https://orcid.org/0000-0002-8260-2958
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