ArticleJournal of medical case reports2025
Cardiac tamponade as an initial atypical presentation of T-cell lymphoblastic lymphoma in a 17-year-old adolescent: a case report.
Article in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundT-cell lymphoblastic lymphoma is a type of non-Hodgkin's lymphoma, which usually affects adolescents and young adults. The usual presentation is characterized by B symptoms and adenopathy associated with a mediastinal mass. Here we describe a rare case of T-cell lymphoblastic lymphoma in an adolescent, presenting as cardiac tamponade. CASE PRESENTATION: The patient is a 17-year-old Moroccan adolescent with no medical history who presented with dyspnea. Echocardiography showed a large pericardial effusion, collapse of the right cavities, and noncompressible dilatation of the inferior vena cava. This tamponade picture required an emergency pericardiocentesis, and the thoracic computed tomography scan showed a mediastinal mass of 132 × 105 mm. Pleuropericardial biopsy made the diagnosis of certainty of T-cell lymphoblastic lymphoma. The complementary management consisted of a combination of chemotherapy.
conclusionLife-threatening emergency, cardiac tamponade is a rare presentation of T-cell lymphoblastic lymphoma. Management consisted of pericardiocentesis, complemented by combination chemotherapy.
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