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Unusual presentation of primary cardiac lymphoma

^a Department of Histopathology, The Royal Brompton Hospital, London, UK
^b Department of Histopathology, The Royal Marsden Hospital, London, UK

*Corresponding author. CRY Centre for Cardiac Pathology, NHLI, Imperial College London, London SW3 6NP, UK. Tel.: +44-2073518426; fax: +44-2073518425.

E-mail address: izhardrster{at}gmail.com (I.N. Bagwan).

Cardiac lymphomas are rare neoplasms and account for a minor proportion of primary cardiac malignancies. Secondary involvement of the heart and pericardium by systemic lymphoma is well documented, but primary lymphomas of heart and pericardium are extremely rare, accounting for 2% of all primary cardiac tumours. Most cases are diagnosed at autopsy, but nowadays, with modern imaging technologies, early diagnosis and treatment is possible. Here, we present two unique incidental presentations of primary cardiac lymphomas (PCL), one in an atrial myxoma and other involving a valvular homograft and discuss the potential pitfalls and prognosis of this rare entity.

Key Words: Primary cardiac lymphoma