Complete Regression of Primary Cardiac Lymphoma With Dose-Attenuated R-CVP Chemotherapeutic Regimen

An elderly man was found to have a large right atrioventricular mass and pericardial effusion. He was diagnosed and treated as having primary cardiac lymphoma. A dose-attenuated chemotherapy regimen of rituximab, cyclophosphamide, vincristine, and prednisolone, with a cytoreductive pre-phase, afford...

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Main Authors: Amit K.J. Mandal, MBBS, Faye L. Selby, MBBS, Stuart Deoraj, MBBS, Sofia Metaxa, MD, Constantinos G. Missouris, MD
Format: Article
Language:English
Published: Elsevier 2019-10-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919302529
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author Amit K.J. Mandal, MBBS
Faye L. Selby, MBBS
Stuart Deoraj, MBBS
Sofia Metaxa, MD
Constantinos G. Missouris, MD
author_facet Amit K.J. Mandal, MBBS
Faye L. Selby, MBBS
Stuart Deoraj, MBBS
Sofia Metaxa, MD
Constantinos G. Missouris, MD
author_sort Amit K.J. Mandal, MBBS
collection DOAJ
description An elderly man was found to have a large right atrioventricular mass and pericardial effusion. He was diagnosed and treated as having primary cardiac lymphoma. A dose-attenuated chemotherapy regimen of rituximab, cyclophosphamide, vincristine, and prednisolone, with a cytoreductive pre-phase, afforded complete regression of disease with resolution of the patient’s symptoms, and without deterioration in cardiac function or immunosuppression. The patient remains well 12 months after presentation. (Level of Difficulty: Advanced.)
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spelling doaj.art-25762d388cd64fc98b0e15dfd900be972022-12-21T22:51:50ZengElsevierJACC: Case Reports2666-08492019-10-0113332336Complete Regression of Primary Cardiac Lymphoma With Dose-Attenuated R-CVP Chemotherapeutic RegimenAmit K.J. Mandal, MBBS0Faye L. Selby, MBBS1Stuart Deoraj, MBBS2Sofia Metaxa, MD3Constantinos G. Missouris, MD4Departments of Cardiology and Medicine, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, Berkshire, United KingdomDepartments of Cardiology and Medicine, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, Berkshire, United KingdomDepartments of Cardiology and Medicine, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, Berkshire, United KingdomDepartments of Cardiology and Medicine, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, Berkshire, United KingdomDepartments of Cardiology and Medicine, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, Berkshire, United Kingdom; Department of Cardiology, University of Cyprus Medical School, Nicosia, Cyprus; Address for correspondence: Prof. Constantinos G. Missouris, Departments of Cardiology and Medicine, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, Berkshire SL2 4HL, United Kingdom.An elderly man was found to have a large right atrioventricular mass and pericardial effusion. He was diagnosed and treated as having primary cardiac lymphoma. A dose-attenuated chemotherapy regimen of rituximab, cyclophosphamide, vincristine, and prednisolone, with a cytoreductive pre-phase, afforded complete regression of disease with resolution of the patient’s symptoms, and without deterioration in cardiac function or immunosuppression. The patient remains well 12 months after presentation. (Level of Difficulty: Advanced.)http://www.sciencedirect.com/science/article/pii/S2666084919302529cancercardiomyopathyright ventricletamponadetricuspid valve
spellingShingle Amit K.J. Mandal, MBBS
Faye L. Selby, MBBS
Stuart Deoraj, MBBS
Sofia Metaxa, MD
Constantinos G. Missouris, MD
Complete Regression of Primary Cardiac Lymphoma With Dose-Attenuated R-CVP Chemotherapeutic Regimen
JACC: Case Reports
cancer
cardiomyopathy
right ventricle
tamponade
tricuspid valve
title Complete Regression of Primary Cardiac Lymphoma With Dose-Attenuated R-CVP Chemotherapeutic Regimen
title_full Complete Regression of Primary Cardiac Lymphoma With Dose-Attenuated R-CVP Chemotherapeutic Regimen
title_fullStr Complete Regression of Primary Cardiac Lymphoma With Dose-Attenuated R-CVP Chemotherapeutic Regimen
title_full_unstemmed Complete Regression of Primary Cardiac Lymphoma With Dose-Attenuated R-CVP Chemotherapeutic Regimen
title_short Complete Regression of Primary Cardiac Lymphoma With Dose-Attenuated R-CVP Chemotherapeutic Regimen
title_sort complete regression of primary cardiac lymphoma with dose attenuated r cvp chemotherapeutic regimen
topic cancer
cardiomyopathy
right ventricle
tamponade
tricuspid valve
url http://www.sciencedirect.com/science/article/pii/S2666084919302529
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