Document 3001
 DOCN  M94A3001
 TI    Two cases of primary intracavitary cardiac lymphoma in immunocompromised
       patient.
 DT    9412
 AU    Trylesinski A; Troisvallets D; Ghanem M; Godard S; Nizou R; Service de
       Medecine Interne, Centre Hospitalier, Gonesse,; France.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):176 (abstract no. PB0130). Unique
       Identifier : AIDSLINE ICA10/94369574
 AB    Primary cardiac lymphoma is rare with frequency at autopsy of 0.001-6%.
       Sixty cases were reported before 1985 and 11 cases in AIDS in the past 3
       years. Intracavitary masses are the least commun: 5 to 9%; we report 2
       cases. A 30 years old African man presented fever, chest pain and weight
       loss. Inflammatory pattern without anemia and HVC antibody was found.
       HIV antibody was negative. Echocardiography revealed right atrial masse
       with pericardial effusion. Anatomopathological study of mediastinal
       adenopathy confirmed non-hodgkin lymphoma. Chemiotherapy was given with
       remission 5 months later. A 35 years old IVDU presented clinical signs
       of global cardiac failure with abdominal and pleural effusion.
       Inflammatory pattern with 7 g/dl of hemoglobin, hypoalbuminemia,
       cholestatic perturbation and positive HIV antibody was found. CD4 cells
       count was nul. Echocardiography revealed masses of right and left
       atrium. Cytological study of effusion showed dismitotic cells mimicking
       lymphoma. Patient died without any treatment. No other lymphomatus
       localisation was detected. Echocardiography is simple, non invasive, and
       not expensive method. It shows wall motion, abnormality and intracavity
       masses. Most diagnosis are made at autopsy, transvenous biopsy may be a
       method of making diagnosis.
 DE    Acquired Immunodeficiency Syndrome/PATHOLOGY/*ULTRASONOGRAPHY  Adult
       Case Report  *Echocardiography  Fatal Outcome  Heart
       Atrium/PATHOLOGY/ULTRASONOGRAPHY  Heart
       Neoplasms/PATHOLOGY/*ULTRASONOGRAPHY  Human  HIV Seronegativity
       Lymphoma, AIDS-Related/PATHOLOGY/*ULTRASONOGRAPHY  Male  Pericardial
       Effusion/PATHOLOGY/ULTRASONOGRAPHY  Pleural Effusion,
       Malignant/PATHOLOGY/ULTRASONOGRAPHY  MEETING ABSTRACT

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