Document 0296
 DOCN  M9550296
 TI    [Upper influx distension in a patient with HIV; unusual localization of
       an HIV-associated lymphoma]
 DT    9505
 AU    Beltinger J; Schonenberger R; Departement Innere Medizin,
       Universitatskliniken, Kantonsspital; Basel.
 SO    Schweiz Rundsch Med Prax. 1995 Jan 17;84(3):76-81. Unique Identifier :
       AIDSLINE MED/95149024
 AB    A 33 year old patient was admitted to the hospital because of
       deteriorated general condition, upper abdominal pain and progressive
       dyspnea. He had a positive HIV-serology associated with i.v. drug abuse.
       The CDC classification on admission was B1. There was no history of
       opportunistic infections, the patient had refused all prophylactic
       treatment. The physical examination showed an elevated central venous
       pressure, decreased breath-sound and percussible dullness, the liver was
       enlarged and a tumor was palpable on chest. The x-ray of the thorax
       confirmed a pleural effusion. Cytology of the effusion revealed blasts
       of malignant non-Hodgkin's lymphoma of B-cell type. A CT-scan of the
       thorax and abdomen showed a tumor mass in the right ventricle and
       superior vena cava, a pleural effusion and multiple lesions in the
       liver. The patient refused a palliative chemotherapy with vincristine
       and prednisone and died few days after admission.
 DE    Adult  Case Report  Dyspnea/ETIOLOGY  English Abstract  Heart
       Neoplasms/COMPLICATIONS  Heart Ventricle  Human  Liver
       Neoplasms/COMPLICATIONS  Lymphoma, AIDS-Related/COMPLICATIONS/*DIAGNOSIS
       Lymphoma, B-Cell/COMPLICATIONS/*DIAGNOSIS  Male  Neoplasm Invasiveness
       Thoracic Neoplasms/COMPLICATIONS  Vena Cava, Superior  JOURNAL ARTICLE

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