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Heart involvement in lymphomas. The value of magnetic resonance imaging and two‐dimensional echocardiography at disease presentation
Author(s) -
TesoroTess John D.,
Balzarini L.,
Ceglia E.,
Musumeci R.,
Biasi S.,
Matarazzo C.,
Piotti P.
Publication year - 1993
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19931015)72:8<2484::aid-cncr2820720828>3.0.co;2-w
Subject(s) - medicine , pericardial effusion , radiology , magnetic resonance imaging , intracardiac injection , heart disease , lymphoma , cardiology
Background and Methods . Thirty‐six patients with mediastinal lymphoma were studied with chest magnetic resonance imaging (MRI) and two‐dimensional echocardiography at presentation to define the extent of the disease in the paracardiac area. Results . Involvement of cardiac structures was present in 23 of 36 patients (64%). Pericardial contiguity was detected in 23 of 23 patients (100%) by MRI and in 18 of 23 patients (78%) by echocardiography. Pericardial effusion, present in 17 patients (74%), and pericardial infiltration, present in 7 patients (30%), were detected by both techniques in 71% and 86%, respectively. Myocardial infiltration was identified in two of two patients (100%) by MRI and in one of two patients (50%) by two‐dimensional echocardiography. Extrapericardial disease was identified in 100% of patients by MRI but only in 30% of patients by echocardiography. Conclusions . Extracardiac and intracardiac involvement is a frequent event in mediastinal lymphomas and should be carefully evaluated with different imaging modalities, mainly MRI, for correct diagnosis and proper management. Cancer 1993; 72:2484–90.