PRIMARY CARDIAC BURKITT LYMPHOMA PRESENTING AS A RIGHT ATRIAL MASS: CASE REPORT AND REVIEW OF THE LITERATURE.
Amina Samih*, Hanae Bouhdadi, Sabrine Derqaoui, Bernoussi Zakia, Mohammed Laaroussi and Mohammed Cherti
ABSTRACT
Primary cardiac lymphoma (PCL) is an uncommon and very rare entity, accounting only for 1% of extra nodal lymphoma with heart involvement. Infections and thrombi account for most non tumoral intracardiac masses. Primary tumors of the heart are rare. Some 75% of the tumors are benign, 25% malignant. Because of the low case numbers, there is an insufficient evidence base to determine the optimal treatment, particularly for malignant tumors. Case Summary: We report the case of a young woman who complained of breathlessness. A transthoracic echocardiography revealed a large mobile homogeneous mass in the apical 4 chamber view, which appeared to be arising from the interatrial septum in the right atrium with tricuspid valve stenosis. The mass impaired right ventricular. Urgent surgery for debulking was indicated. Pathology was a burkitt lymphoma (BL). Discussion: BL causing intracardiac mass is rare. The cardiac symptoms are frequently non-specific and can often be overlooked or underappreciated in the presence of the impressive extra-cardiac disease. This observation is interesting to emphasize the role of early diagnosis that improves the prognosis despite a non-specific clinical presentation.
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