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Kaiafa G, Daios S, Bountola S, Koletsa T, Makris M, Chatzikosma C, Loukousia A, Perifanis V, Ziakas A, Savopoulos C. Hodgkin Lymphoma Presenting as Cardiac Tamponade in a Young Female. Case Rep Hematol 2024; 2024:5597263. [PMID: 39015771 PMCID: PMC11250532 DOI: 10.1155/2024/5597263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Revised: 06/23/2024] [Accepted: 06/27/2024] [Indexed: 07/18/2024] Open
Abstract
Hodgkin lymphoma (HL) is an uncommon malignancy that is characterized by Hodgkin or Reed-Sternberg cells. Cardiac implications of HL remain one of the least investigated subjects. There are few case reports in the literature of cardiac tamponade in HL patients. We describe a case of a 21-year-old female patient who presented with cardiac tamponade as an initial presentation of HL. Any pericardial effusion significant for tamponade requires immediate drainage and fluid analysis for thorough investigation. Prompt identification and timely intervention are crucial in effectively addressing these complex situations. Therefore, clinicians should maintain heightened awareness in such cases.
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Affiliation(s)
- Georgia Kaiafa
- First Propedeutic Department of Internal MedicineAHEPA University Hospital of ThessalonikiAristotle University of Thessaloniki 54636, Thessaloniki, Greece
| | - Stylianos Daios
- First Propedeutic Department of Internal MedicineAHEPA University Hospital of ThessalonikiAristotle University of Thessaloniki 54636, Thessaloniki, Greece
- First Department of CardiologyAHEPA University HospitalSchool of MedicineFaculty of Health SciencesAristotle University of Thessaloniki, St. Kyriakidi 1 54636, Thessaloniki, Greece
| | - Stavroula Bountola
- First Propedeutic Department of Internal MedicineAHEPA University Hospital of ThessalonikiAristotle University of Thessaloniki 54636, Thessaloniki, Greece
| | - Triantafyllia Koletsa
- Department of PathologySchool of MedicineAristotle University of Thessaloniki, Thessaloniki, Greece
| | - Michail Makris
- First Propedeutic Department of Internal MedicineAHEPA University Hospital of ThessalonikiAristotle University of Thessaloniki 54636, Thessaloniki, Greece
| | - Charikleia Chatzikosma
- First Propedeutic Department of Internal MedicineAHEPA University Hospital of ThessalonikiAristotle University of Thessaloniki 54636, Thessaloniki, Greece
| | - Antonia Loukousia
- Department of PathologySchool of MedicineAristotle University of Thessaloniki, Thessaloniki, Greece
| | - Vasileios Perifanis
- First Propedeutic Department of Internal MedicineAHEPA University Hospital of ThessalonikiAristotle University of Thessaloniki 54636, Thessaloniki, Greece
| | - Antonios Ziakas
- First Department of CardiologyAHEPA University HospitalSchool of MedicineFaculty of Health SciencesAristotle University of Thessaloniki, St. Kyriakidi 1 54636, Thessaloniki, Greece
| | - Christos Savopoulos
- First Propedeutic Department of Internal MedicineAHEPA University Hospital of ThessalonikiAristotle University of Thessaloniki 54636, Thessaloniki, Greece
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2
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Matos Sousa R, Nogueira C, Vilela MJ, Neves Correia F, Silva Araújo C, Ribeiro M, Capela C. A Rare First Presentation of Hodgkin's Lymphoma: Symptomatic Pericardial Effusion. Cureus 2023; 15:e46731. [PMID: 38022304 PMCID: PMC10631307 DOI: 10.7759/cureus.46731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2023] [Indexed: 12/01/2023] Open
Abstract
Symptomatic pericardial effusion occurring as the initial manifestation of Hodgkin's lymphoma is exceedingly uncommon, and there are limited documented instances in the available literature. Pericardial effusion can present various differential diagnoses, and among these, malignancy is an important yet less frequently encountered cause. A heightened level of suspicion is crucial for establishing an accurate diagnosis, particularly when the patient's clinical course deviates from the anticipated trajectory. Through this case, we aim to emphasize the significance of considering lymphoproliferative diseases as a pertinent possibility in the differential diagnosis of pericardial effusion. Additionally, we underscore the importance of promptly reaching a diagnosis, as it can help prevent severe complications and enhance the patient's prognosis.
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Affiliation(s)
- Rita Matos Sousa
- Internal Medicine, Hospital de Braga, Braga, PRT
- Clinical Sciences, Escola de Medicina da Universidade do Minho, Braga, PRT
| | | | | | | | | | | | - Carlos Capela
- Internal Medicine, Hospital de Braga, Braga, PRT
- Clinical Sciences, Escola de Medicina da Universidade do Minho, Braga, PRT
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3
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Kim EE, Jeon YK, Koh J. A Case of Hodgkin Lymphoma Presenting Initially with Constrictive Pericarditis. Int J Surg Pathol 2023; 31:1115-1118. [PMID: 36172638 DOI: 10.1177/10668969221118914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Eric Eunshik Kim
- Department of Pathology, Seoul National University Hospital, Seoul, South Korea
| | - Yoon Kyung Jeon
- Department of Pathology, Seoul National University Hospital, Seoul, South Korea
- Cancer Research Institute, Seoul National University, Seoul, South Korea
| | - Jiwon Koh
- Department of Pathology, Seoul National University Hospital, Seoul, South Korea
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4
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Kligfeld H, Wynn SM, Hermanson K, Ma TM, Suh E, Hemenway CS. An Atypical Presentation of Hodgkin Lymphoma Invading the Myocardium. J Pediatr Hematol Oncol 2023; 45:349-351. [PMID: 37146085 DOI: 10.1097/mph.0000000000002675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 02/21/2023] [Indexed: 05/07/2023]
Abstract
Pericardial involvement by Hodgkin lymphoma has been found in up to 20% of children at presentation, but disease of the myocardium itself is rare. We describe an 18-year-old male with HL who presented with a large mediastinal mass, pericardial effusion, and tumor invasion of both atrial walls with intra-atrial extension. A PubMed search of publications between 1989 and 2022 was conducted and additional older references were identified among these publications. While pericardial disease is described in numerous case series, myocardial involvement by HL, diagnosed clinically rather than at autopsy, is distinctly unusual.
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Affiliation(s)
| | - Shannon M Wynn
- Department of Pediatrics, Loyola University Medical Center
| | | | - Tehui Marsha Ma
- Department of Pediatrics, Stritch School of Medicine, Loyola University Chicago, Maywood, IL
| | - Eugene Suh
- Department of Pediatrics, Stritch School of Medicine, Loyola University Chicago, Maywood, IL
| | - Charles S Hemenway
- Children's Hospital and the Department of Pediatrics, Louisiana State University Health Sciences Center, New Orleans, LA
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5
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AbdullGaffar B, Raman L. Cytologic manifestations of Hodgkin lymphoma in serous effusions. Diagn Cytopathol 2022; 50:E255-E263. [PMID: 35581946 DOI: 10.1002/dc.24976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Revised: 02/22/2022] [Accepted: 04/29/2022] [Indexed: 11/10/2022]
Abstract
Serous effusions occur in a small group of patients with classic Hodgkin lymphoma (cHL). Most effusions are benign inflammatory fluids. Malignant effusions predominantly in patients with treated relapsed diseases or rarely as a primary manifestation are diagnostically challenging to cytopathologists. Established cases of cHL with effusions were retrieved. Cytology slides were screened looking for Reed-Sternberg-Hodgkin (RSH) cells and patterns of background inflammatory cells. Cellblocks and their corresponding immunocytochemistry (ICC) slides were examined. The cytologic findings were correlated with nodal biopsy histopathologic and immunohistochemical features. We found six cases of benign and malignant pleural and pericardial effusions in patients with mediastinal nodular sclerosis-type cHL. Various cytomorphologic patterns were observed. Slides revealed sparsely scattered either isolated or aggregated mononuclear, binucleated and multinucleated RSH-like cells. Some may have been either disregarded as reactive mesothelial or histiocytic cells, or confused with other RSH-like malignant cells. The background varied between characteristic mixed inflammatory milieu, predominantly small lymphocytic or lymphohistiocytic with or without reactive mesothelial cells. Cytologic examination showed three positive cases (two cases with RSH cells confirmed by cellblock section ICC, one case with a mixed inflammatory infiltrate), and three benign effusions (one case with atypical RSH-like reactive mesothelial cells confirmed by ICC). Effusions associated with cHL exhibit different cytologic patterns. A high level of vigilance with utility of ICC has an important role in suspecting primary cases and confirming recurrences in known cases. The various cytologic patterns of cHL-associated benign and malignant effusions might reflect parallel pathophysiologic mechanisms.
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Way A, Ozdemir S, Berges B, Getman N, Liang X, Mendenhall NP, Collins G, Cutter D, Mailhot Vega RB. Pericardial Effusion during Proton Therapy in a Patient with Chemorefractory Hodgkin Lymphoma. Int J Part Ther 2021; 8:76-81. [PMID: 35530189 PMCID: PMC9009456 DOI: 10.14338/ijpt-21-00010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 07/16/2021] [Indexed: 11/21/2022] Open
Abstract
We present a case of recurrent pericardial effusion presenting during proton therapy in a 24-year-old female receiving mediastinal treatment for classical Hodgkin lymphoma. Pericardial effusion is typically considered an event accompanying lymphoma diagnosis or as a subacute or late effect of radiotherapy. Rarely has it been described as occurring during radiation treatment with photon-based radiotherapy, let alone proton therapy. It is unclear what underlying cause triggered recurrent effusion in this patient. Identifying and managing pericardial effusion during treatment delivery is important to consider as it may affect radiation dosimetry, particularly with proton therapy. Doing so will help ensure patients receive optimal treatment and minimize the risks of morbidity and mortality.
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Affiliation(s)
- Ashley Way
- Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA
| | - Savas Ozdemir
- Department of Radiology, Division of Nuclear Medicine and Molecular Imaging, University of Florida College of Medicine, Jacksonville, FL, USA
| | - Barbara Berges
- Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA
| | - Nataliya Getman
- Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA
| | - Xiaoying Liang
- Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA
| | - Nancy P. Mendenhall
- Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA
| | - Graham Collins
- Oxford Cancer and Haematology Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - David Cutter
- Department of Oncology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - Raymond B. Mailhot Vega
- Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA
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7
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Matic T, Bakos M, Saric D, Cvitkovic M, Salek Z, Mestrovic D, Pavlovic M, Bilic E. Low cardiac output syndrome requiring extracorporeal membrane oxygenation following pericardiocentesis in an adolescent with Hodgkin Lymphoma: a case report. Perfusion 2020; 36:529-531. [PMID: 32820703 DOI: 10.1177/0267659120950604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We present a case of a 16-year-old male with large pericardial effusion due to Hodgkin Lymphoma (HL). Shortly after drainage of pericardial effusion he developed a low cardiac output syndrome which had to be treated with extracorporeal membrane oxygenation (ECMO). This 9-day ECMO support helped the patient to recover his cardiac function, and thereafter a remission of his primary disease was successfully achieved with chemotherapy. It is a matter of discussion whether a large pericardial effusion with moderate symptoms in patients with HL should be evacuated or just observed since the effusion should ameliorate with chemotherapy. But based upon our experience in this case of hemodynamic instability due to a large effusion requiring evacuation, we propose that pericardiocentesis procedure should be performed with caution at a slow drainage rate of 0.5-1 ml/kg/hour with a maximum rate of 50 ml/hour, to help avoid the low cardiac output syndrome in patients with similar disease conditions.
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Affiliation(s)
- Toni Matic
- Department of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia.,University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Matija Bakos
- Department of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Dalibor Saric
- Department of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Miran Cvitkovic
- Department of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Zrinko Salek
- Department of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Daniel Mestrovic
- Department of Pediatrics, General Hospital Karlovac, Karlovac, Croatia
| | - Maja Pavlovic
- Department of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Ernest Bilic
- Department of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia.,University of Zagreb, School of Medicine, Zagreb, Croatia
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8
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Srikanta JT, Kumar KMC. Endobronchial Lesion and Pericardial Extension of Pediatric Hodgkin Lymphoma: A Rare Concomitant Presentation. Indian J Med Paediatr Oncol 2020. [DOI: 10.4103/ijmpo.ijmpo_258_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AbstractConcomitant endobronchial lesion and pericardial effusion/extension in Hodgkin lymphoma (HL) are extremely rare and can be clinically confused with disseminated tuberculosis or aggressive non-HL changing both management and prognosis. We present a 15-year-old adolescent with complaints of fever, weight loss, and acute onset of cough, chest pain, and breathing difficulty. Computed tomography of the thorax showed moderate-to-significant pericardial effusion/extension with significant mediastinal adenopathy. A bronchoscopy demonstrated a well-defined polypoidal mass lesion in the right upper lobe bronchus. Endobronchial biopsy of the lesion with endobronchial ultrasound/transbronchial needle aspiration of mediastinal lymphadenopathy categorically diagnosed with classic HL.
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Affiliation(s)
- J T Srikanta
- Institute of Pediatric Interventional Pulmonology and Sleep Medicine, Apollo Hospitals, Bengaluru, Karnataka
| | - K M Chandan Kumar
- Institute of Pediatric Interventional Pulmonology and Sleep Medicine, Apollo Hospitals, Bengaluru, Karnataka
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9
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Imaging for diagnosis, staging and response assessment of Hodgkin lymphoma and non-Hodgkin lymphoma. Pediatr Radiol 2019; 49:1545-1564. [PMID: 31620854 DOI: 10.1007/s00247-019-04529-8] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Revised: 08/14/2019] [Accepted: 09/06/2019] [Indexed: 02/07/2023]
Abstract
Hodgkin lymphoma and non-Hodgkin lymphoma are common malignancies in children and are now highly treatable. Imaging plays a major role in diagnosis, staging and response using conventional CT and MRI and metabolic imaging with positron emission tomography (PET)/CT and PET/MRI. Cross-sectional imaging has replaced staging laparotomy and splenectomy by demonstrating abdominal nodal groups and organ involvement. [F-18]2-fluoro-2-deoxyglucose (FDG) PET provides information on bone marrow involvement, and MRI elucidates details of cortical bone and confirmation of bone marrow involvement. The staging system for Hodgkin lymphoma is the Ann Arbor system with Cotswald modifications and is based on imaging, whereas the non-Hodgkin staging system is the St. Jude Classification by Murphy or the more recent revised International Pediatric Non-Hodgkin Lymphoma Staging System (IPNHLSS). Because all pediatric lymphomas are metabolically FDG-avid and identify all nodal, solid organ, cortical bone and bone marrow disease, staging evaluations require FDG PET as PET/CT or PET/MRI in both Hodgkin and non-Hodgkin lymphoma. Both diseases have in common issues of airway compromise at presentation demonstrated by imaging. Differences exist in that Hodgkin lymphoma has several independent poor prognostic factors seen by imaging such as large mediastinal adenopathy, Stage IV disease, systemic symptoms, pleural effusion and pericardial effusion. Non-Hodgkin lymphoma includes more organ involvement such as renal, ovary, central nervous system and skin. Early or interim PET-negative scans are a reliable indicator of improved clinical outcome and optimize risk-adapted therapy and patient management; imaging may not, however, predict who will relapse. A recent multicenter trial has concluded that it is usually sufficient for pediatric lymphoma at staging and interim assessment to evaluate children with PET imaging from skull base to mid-thigh. Various systems of assessment of presence of disease or response are used, including the Deauville visual scale, where avidity is compared to liver; Lugano, which includes size change as part of response; or quantitative PET, which uses standardized uptake values to define more accurate response. Newer methods of immunotherapy can produce challenges in FDG PET evaluation because of inflammatory changes that may not represent disease.
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10
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Pericardial effusion in Hodgkin lymphoma: a report from the Children's Oncology Group AHOD0031 protocol. Blood 2018; 132:1208-1211. [PMID: 30061157 DOI: 10.1182/blood-2018-02-834465] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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11
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Adler AC, Cestero C. Symptomatic Pericardial Effusion in Hodgkin's Lymphoma: A Rare Occurrence. Case Report and Review of the Literature. TUMORI JOURNAL 2018. [DOI: 10.1177/030089161209800223] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Pericardial effusion is observed in approximately 5% of patients with Hodgkin's lymphoma but is rarely symptomatic. We report a case in which a 21-year-old woman with newly diagnosed Hodgkin's lymphoma was found to have symptoms and radiographic evidence of pericardial effusion. Symptomatic pericardial effusion in patients with Hodgkin's lymphoma is extremely rare, with few reports in the literature. The mechanism for the heart and pericardial involvement is reviewed along with a description of the presenting symptoms and differential diagnosis.
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Affiliation(s)
- Adam C Adler
- Department of Internal Medicine, St. Vincent's Medical Center, Bridgeport, CT, USA
| | - Cesar Cestero
- Department of Internal Medicine, St. Vincent's Medical Center, Bridgeport, CT, USA
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12
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Cardiovascular effects of Hodgkin’s lymphoma: a review of literature. J Cancer Res Clin Oncol 2017; 144:99-107. [DOI: 10.1007/s00432-017-2560-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2017] [Accepted: 12/11/2017] [Indexed: 01/09/2023]
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13
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Hajra A, Bandyopadhyay D, Layek M, Mukhopadhyay S. Cardiac Tamponade as Initial Presentation of Hodgkin Lymphoma. J Clin Imaging Sci 2015; 5:67. [PMID: 26900491 PMCID: PMC4736057 DOI: 10.4103/2156-7514.172971] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2015] [Accepted: 12/04/2015] [Indexed: 11/18/2022] Open
Abstract
Cardiac involvement in malignant lymphoma is one of the least investigated subjects. Pericardial effusion is rarely symptomatic in patients of Hodgkin lymphoma (HL). Few case reports are available in the literature. There are case reports of diagnosed HL patients presenting with pericardial effusion. HL patients who present with recurrent episodes of pericardial effusion have also been reported. Pericardial effusion has also been reported in cases of non HL. However, pericardial effusion leading to cardiac tamponade as an initial presentation of HL is extremely rare. Very few such cases are there in the literature. Here, we present a case of a 26-year-old male patient who presented with cardiac tamponade and in due course was found to be a case of classical type of HL. This case is interesting because of its presentation.
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Affiliation(s)
- Adrija Hajra
- Department of Internal Medicine, IPGMER, Kolkata, West Bengal, India
| | | | - Manas Layek
- Department of Accident and Emergency, Lady Hardinge Medical College, New Delhi, India
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14
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Gharbaran R, Park J, Kim C, Goy A, Suh KS. Circulating tumor cells in Hodgkin's lymphoma - a review of the spread of HL tumor cells or their putative precursors by lymphatic and hematogenous means, and their prognostic significance. Crit Rev Oncol Hematol 2013; 89:404-17. [PMID: 24176672 DOI: 10.1016/j.critrevonc.2013.09.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2013] [Revised: 08/26/2013] [Accepted: 09/20/2013] [Indexed: 01/05/2023] Open
Abstract
About 15% of patients diagnosed with classical Hodgkin's lymphoma (cHL) are considered high risk with unfavorable prognosis. The biology of the disease bears a direct relationship to its clinical course. However, some aspects of the disease are still being debated. Related topics include origin of neoplastic cells as circulating precursor versus germinal center B cell, and disease metastasis via hematogenous routes and the effect of HL circulation on relapse potential and further spread of the disease. The terminally differentiated giant neoplastic Hodgkin Reed-Sternberg (HRS) cells (HRSC) have limited proliferation and lack mobility. Therefore, they are unable to penetrate epithelium. Thus, the clinical aggressiveness of HRSCs that disseminate via both lymphatic and hematogenous may be determined by their molecular composition. This review discusses in detail the historical perspectives on scientific and clinical evidences of precursors of circulating HL cells and the prognostic importance of these circulating cells for predicting outcome.
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Affiliation(s)
- Rajendra Gharbaran
- The Genomics and Biomarkers Program, The John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ 07601, United States
| | - Jongwhan Park
- The Genomics and Biomarkers Program, The John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ 07601, United States
| | - Chris Kim
- The Genomics and Biomarkers Program, The John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ 07601, United States
| | - A Goy
- Lymphoma Division, The John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ 07601, United States
| | - K Stephen Suh
- The Genomics and Biomarkers Program, The John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ 07601, United States.
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15
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Mumoli N, Cei M, Gambaccini L, Sabatini S, Vitale J. Hodgkin disease complicated by recurrent cardiac tamponade. QJM 2013; 106:859-60. [PMID: 23596264 DOI: 10.1093/qjmed/hct084] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- N Mumoli
- Department of Internal Medicine, Ospedale Civile Livorno, viale Alfieri 36, 57100 Livorno, Italy.
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16
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Pericardial effusion due to pericardium involvement by Hodgkin's lymphoma. Ann Hematol 2012. [PMID: 23196418 DOI: 10.1007/s00277-012-1638-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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17
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Casey DJ, Kim AY, Olszewski AJ. Progressive pericardial effusion during chemotherapy for advanced Hodgkin lymphoma. Am J Hematol 2012; 87:521-4. [PMID: 22120982 DOI: 10.1002/ajh.22239] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2011] [Revised: 10/20/2011] [Accepted: 10/26/2011] [Indexed: 12/27/2022]
Affiliation(s)
- David J Casey
- Royal College of Surgeons in Ireland, Dublin, Ireland
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18
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Amirimoghaddam Z, Khoddami M, Nayeri ND, Molaee S. Hodgkin's lymphoma presenting with heart failure: a case report. J Med Case Rep 2010; 4:14. [PMID: 20205760 PMCID: PMC2822792 DOI: 10.1186/1752-1947-4-14] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2008] [Accepted: 01/20/2010] [Indexed: 11/10/2022] Open
Abstract
Introduction Cardiac involvement in malignant lymphoma is one of the least investigated subjects in oncology. This article reports a case of cardiac involvement in Hodgkin's lymphoma which presented as heart failure. Case presentation We report the case of an 8-year-old Afghan girl with Hodgkin's lymphoma. The disease presented with systemic signs and symptoms, including abdominal distension, weakness, pallor, chills, fever, generalized edema, hepatosplenomegaly and generalized lymphadenopathy, as well as signs of heart failure. Test results showed a rare form of heart metastasis. Conclusion We report a case of Hodgkin's lymphoma with metastasis to the heart, detected premortem. Although the involvement of the heart in a malignancy is relatively common, premortem detection is unusual and only few studies have reported it in the literature.
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Affiliation(s)
- Zeinab Amirimoghaddam
- Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Nosrat St, Tohid Square, Tehran, 1419733171, Iran.
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