原发心脏淋巴瘤的临床病理特征及治疗分析

Clinicopathological Characteristics and Treatment of Primary Cardiac Lymphoma

目的总结我国报道的原发心脏淋巴瘤的临床表现、检查特点、治疗及预后。方法检索1986年到2013年我国发表的原发性心脏淋巴瘤的个案报道,进行总结和分析。结果我国的个案报道均未提及患者存在免疫缺陷,肿块最常见累及部位为右心房,心电图(electrocardiogram,ECG)最常见表现为房室传导阻滞,超声心电图(ultrasound cardiogram,UCG)为较好的检查方法,其中预后较好的病例均进行了化疗。结论原发心脏淋巴瘤无典型症状,多数为晚期就诊,预后差,化疗为相对较好的治疗手段。

Objective To summarize the clinical manifestation, examination, treatment and prognosis of primary cardiac lymphoma(PCL) in China. Methods Individual patient's data were obtained from defined cases of PCL(1986-2013) and systematically analyzed. Results Immunodeficiency was not mentioned. The most common tumor site that involved was the right atrium. The most common abnormal of ECG was atrioventricular block. UCG was one of the best checking methods and chemotherapy was with well prognosis. Conclusion Primary cardiac lymphoma has no typical symptom and the majority of patients are with advanced lymphoma and poor prognosis. Chemotherapy is relatively better for treatment.