Relapsing B-cell Lymphoblastic Leukemia in an Adult Presenting as an Infiltrative Cardiac Mass with Tamponade

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• 作者：Rami Kahwash ; MD ; Sarah Sartini Rugg ; MD ; Mikel D. Smith ; MD ; ^{mdsmith0@uky.edu}
• 刊名：Journal of the American Society of Echocardiography
• 出版年：2007
• 出版时间：November 2007
• 年：2007
• 卷：20
• 期：11
• 页码：1319.e1-1319.e2
• 全文大小：216 K

文摘

We present a case of a 51-year-old man with a history of bone-marrow transplantation for acute lymphoblastic leukemia who returned 4 months later with cardiac tamponade. An echocardiogram showed a solid mass encasing the right ventricle (RV). Surgical biopsy of the mass revealed early relapse with lymphoblasts derived from B-cell precursors. We believe that this is the first description of relapsing B-cell acute lymphoblastic leukemia presenting as an intrathoracic mass with direct invasion of the adjacent cardiac structures causing tamponade physiology.