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Yang Y, Li Z, Li Y, Zhao Y, Shi M. Relapsed/refractory diffuse large B cell lymphoma with cardiac involvement: A case report and literature review. Front Oncol 2023; 13:1091074. [PMID: 36793603 PMCID: PMC9923120 DOI: 10.3389/fonc.2023.1091074] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 01/13/2023] [Indexed: 01/31/2023] Open
Abstract
Background Hematological malignancies of the heart (CHMs) are extremely rare, and include leukemia, lymphoma infiltration, and multiple myeloma with extramedullary manifestations. Cardiac lymphoma can be divided into primary cardiac lymphoma (PCL) and secondary cardiac lymphoma (SCL). Compared to PCL, SCL is relatively more common. Histologically, the most frequent SCL is diffuse large B-cell lymphoma (DLBCL). The prognosis of lymphoma in patients with cardiac involvement is extremely poor. CAR T-cell immunotherapy has been recently become a highly effective treatment for relapsed or refractory diffuse large B-cell lymphoma. To date, there are no guidelines that provide a clear consensus on the management of patients with secondary heart or pericardial involvement. We report a case of relapsed/refractory DLBCL that secondarily affected the heart. Case presentation A male patient was diagnosed with double-expressor DLBCL based on biopsies of mediastinal and peripancreatic masses and fluorescence in situ hybridization. The patient received first-line chemotherapy and anti-CD19 CAR T cell immunotherapy, but developed heart metastases after 12 months. Considering his physical condition and economic situation of the patient, two cycles of multiline chemotherapies were administered, followed by CAR-NK cell immunotherapy and allogeneic hematopoietic stem cell transplantation (allo-HSCT) at another hospital. After achieving a six-month survival, the patient died of severe pneumonia. Conclusion The response of our patient emphasizes the importance of early diagnosis and timely treatment to improve the prognosis of SCL and serves as an important reference for SCL treatment strategies.
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Affiliation(s)
- Yuanyuan Yang
- Department of Hematology, the First Affiliated Hospital of Kunming Medical University, Kunming, China.,Hematology Research Center of Yunnan Province, Kunming, China
| | - Zixuan Li
- Department of Hematology, the First Affiliated Hospital of Kunming Medical University, Kunming, China.,Hematology Research Center of Yunnan Province, Kunming, China
| | - Yuntao Li
- Department of Hematology, the First Affiliated Hospital of Kunming Medical University, Kunming, China.,Hematology Research Center of Yunnan Province, Kunming, China
| | - Yue Zhao
- Department of Cardiology, the First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Mingxia Shi
- Department of Hematology, the First Affiliated Hospital of Kunming Medical University, Kunming, China.,Hematology Research Center of Yunnan Province, Kunming, China
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Martz CA, Jarbeau JF, Castillo JJ, Fisher DC, Nohria A. Medical Management of Hemodynamically Unstable Sinoatrial Node Dysfunction in a Patient With Intracardiac Lymphoma. JACC CardioOncol 2021; 3:326-329. [PMID: 34396343 PMCID: PMC8352225 DOI: 10.1016/j.jaccao.2021.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 03/03/2021] [Indexed: 11/30/2022] Open
Affiliation(s)
- Colin A. Martz
- Department of Internal Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA
- Department of Medicine, Boston Children’s Hospital, Boston, Massachusetts, USA
| | - Jennifer F. Jarbeau
- Department of Cardiovascular Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA
| | - Jorge J. Castillo
- Division of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | - David C. Fisher
- Division of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | - Anju Nohria
- Cardio-Oncology Program, Division of Cardiology, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA
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3
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Buikema JW, Goodyer WR, Koudstaal S, van 't Sant J, Verheggen PW, de Vrey EA, de Smet BJ. Swinging beats: transient heart block in cardiac lymphoma. Neth Heart J 2018; 26:467-468. [PMID: 30039382 PMCID: PMC6115310 DOI: 10.1007/s12471-018-1135-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- J W Buikema
- Department of Cardiology, Meander Medisch Centrum, Amersfoort, The Netherlands.
- Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
- Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
| | - W R Goodyer
- Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA
| | - S Koudstaal
- Department of Cardiology, Meander Medisch Centrum, Amersfoort, The Netherlands
- Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - J van 't Sant
- Department of Cardiology, Meander Medisch Centrum, Amersfoort, The Netherlands
| | - P W Verheggen
- Department of Cardiology, Meander Medisch Centrum, Amersfoort, The Netherlands
| | - E A de Vrey
- Department of Cardiology, Meander Medisch Centrum, Amersfoort, The Netherlands
| | - B J de Smet
- Department of Cardiology, Meander Medisch Centrum, Amersfoort, The Netherlands
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Chang HM, Okwuosa TM, Scarabelli T, Moudgil R, Yeh ETH. Cardiovascular Complications of Cancer Therapy: Best Practices in Diagnosis, Prevention, and Management: Part 2. J Am Coll Cardiol 2017; 70:2552-2565. [PMID: 29145955 PMCID: PMC5825188 DOI: 10.1016/j.jacc.2017.09.1095] [Citation(s) in RCA: 193] [Impact Index Per Article: 27.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Revised: 09/24/2017] [Accepted: 09/26/2017] [Indexed: 02/08/2023]
Abstract
In this second part of a 2-part review, we will review cancer or cancer therapy-associated systemic and pulmonary hypertension, QT prolongation, arrhythmias, pericardial disease, and radiation-induced cardiotoxicity. This review is based on a MEDLINE search of published data, published clinical guidelines, and best practices in major cancer centers. Newly developed targeted therapy can exert off-target effects causing hypertension, thromboembolism, QT prolongation, and atrial fibrillation. Radiation therapy often accelerates atherosclerosis. Furthermore, radiation can damage the heart valves, the conduction system, and pericardium, which may take years to manifest clinically. Management of pericardial disease in cancer patients also posed clinical challenges. This review highlights the unique opportunity of caring for cancer patients with heart problems caused by cancer or cancer therapy. It is an invitation to action for cardiologists to become familiar with this emerging subspecialty.
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Affiliation(s)
- Hui-Ming Chang
- Center for Precision Medicine, Department of Medicine, University of Missouri, Columbia, Missouri
| | - Tochukwu M Okwuosa
- Division of Cardiology, Rush University Medical Center, Chicago, Illinois
| | - Tiziano Scarabelli
- Division of Cardiology, Virginia Common Wealth University, Richmond, Virginia
| | - Rohit Moudgil
- Department of Cardiology, University of Texas, MD Anderson Cancer Center, Houston, Texas
| | - Edward T H Yeh
- Center for Precision Medicine, Department of Medicine, University of Missouri, Columbia, Missouri.
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Tadic M, Haßfeld S, Pieske B, Genger M. Cardiac Lymphoma: After the Hurricane. Chin Med J (Engl) 2017; 130:2391-2392. [PMID: 28937051 PMCID: PMC5634096 DOI: 10.4103/0366-6999.215345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Marijana Tadic
- Department of Cardiology, Charité-University-Medicine, Berlin 13353, Germany,Address for correspondence: Dr. Marijana Tadic, Department of Cardiology, Charité-University-Medicine, Berlin 13353, Germany E-Mail:
| | - Sabine Haßfeld
- Department of Cardiology, Charité-University-Medicine, Berlin 13353, Germany
| | - Burket Pieske
- Department of Cardiology, Charité-University-Medicine, Berlin 13353, Germany,Deutsches Zentrum für Herz-Kreislauf-Forschung, Berlin 13353, Germany,Department of Cardiology, Deutsches Herzzentrum Berlin, Berlin 13353, Germany
| | - Martin Genger
- Department of Cardiology, Charité-University-Medicine, Berlin 13353, Germany
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