Cardiac lymphoma and role of early surgical debulking: a cas
Primary cardiac lymphoma (PCL) is a very rare disease and is most commonly found among immunocompromised patients. Its cardiac manifestations are non-specific, leading to delayed diagnosis and poor prognosis. However, chemotherapy could improve survival, which makes early and prompt diagnosis very crucial. This is a report of a rare case of PCL found on a 73-year-old man who benefit from early debulking surgery.

A 73-year-old man presented with worsening dyspnoea over the last 2 months. A 7.2 × 10.2 cm intramural tumour was found extending from the right atrium to the right ventricle. It was considered that the tumour could cause sudden death due to its size and extension.

Therefore, surgical debulking with biopsy and valve repair was done. Cytology examination from the resected specimen demonstrated diffuse large B-cell lymphoma non-germinal centre B-cell like type.

He was discharged 2 weeks after the surgery in stable condition and referred to internal medicine department for chemotherapy. However, he chose palliative home care and died 44 days after surgery.

Learning points
• Early diagnosis is crucial in primary cardiac lymphoma (PCL) cases as its non-specific symptoms often lead to delayed diagnosis and poor prognosis.

• Early surgical debulking should be considered to improve symptoms, prevent sudden death, and confirm diagnosis in PCL cases with concerning tumour size and symptoms due to cardiac obstruction.

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