Surgical resection of primary cardiac lymphoma presenting as a huge mass: Report of two cases

Yohsuke Yanase, Akihiko Yamauchi, Mayuko Uehara, Kazutoshi Tachibana, Satoshi Muraki, Nobuyuki Takagi, Tetsuya Higami

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Primary cardiac lymphoma (PCL) is a rare malignancy that is sometimes diagnosed at later stages because it is not associated with specific symptoms. Although chemotherapy is the standard for treating PCL, the value of surgical resection is controversial. We describe two patients who were treated by surgical resection and chemotherapy. Case 1 is a 37-year-old man with a history of acute lymphocytic leukemia and shortness of breath, and Case 2 is a 70-year-old woman with general fatigue. Both of them were presented at hospital. In Case 2, arrhythmic syncope occurred and direct current cardioversion was performed. Echocardiography showed a massive tumor in the right atrium and disturbed hemodynamics in both cases. The restricted venous return was alleviated by emergency surgery. The pathology report indicated primary cardiac lymphoma that was regressed by post-operative chemotherapy. A massive PCL should be surgically resected to prevent sudden death.

Original languageEnglish (US)
Pages (from-to)494-497
Number of pages4
JournalGeneral Thoracic and Cardiovascular Surgery
Issue number8
StatePublished - Aug 2012
Externally publishedYes


  • Chemotherapy
  • Hemodynamics
  • Malignancy
  • Primary tumor

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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