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ArticleCase reports in oncology

Tumor-Related Pericardial and Myocardial Infiltration in Diffuse Large B-Cell Lymphoma Presenting as an ST-Elevation Myocardial Infarction Mimic: A Case Report.

Zhandos Burkitbayev, Ainur Bilmakhanbetova, Aliya Omarbek, Kulshat Aidarbekova, Assel Zhumabekova, Aigerim Tanyrbergenova, Bairam Kochiev, Alexandr Kolesnev

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Article in Case reports in oncology. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Zhandos BurkitbayevNational Research Oncology Center, Astana, Kazakhstan.
Ainur BilmakhanbetovaNational Research Oncology Center, Astana, Kazakhstan.
Aliya OmarbekNational Research Oncology Center, Astana, Kazakhstan.
Kulshat AidarbekovaNational Research Oncology Center, Astana, Kazakhstan.
Assel ZhumabekovaNational Research Oncology Center, Astana, Kazakhstan.
Aigerim TanyrbergenovaNational Research Oncology Center, Astana, Kazakhstan.
Bairam KochievNational Research Oncology Center, Astana, Kazakhstan.
Alexandr KolesnevNational Research Oncology Center, Astana, Kazakhstan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiac involvement in diffuse large B-cell lymphoma (DLBCL) is rare and often underrecognized. Concurrent pericardial and myocardial infiltration can mimic acute myocardial infarction on electrocardiography, posing diagnostic challenges. Case Presentation: We present a 64-year-old female with biopsy-confirmed DLBCL who developed acute respiratory symptoms and electrocardiographic changes mimicking ST-elevation myocardial infarction (STEMI). Multimodal imaging revealed a large pericardial effusion, myocardial infiltration, and no obstructive coronary disease. Despite chemotherapy and supportive care, the patient succumbed to cardiopulmonary failure. Conclusion: This case highlights a rare manifestation of lymphoma-associated cardio-infiltration presenting as STEMI mimic. Early multidisciplinary evaluation is essential to differentiate pseudo-infarction syndromes and prevent unnecessary invasive interventions.

Indexed as

Cardio-oncologyDiffuse large B-cell lymphomaEchocardiographyMyocardial infiltrationPericarditisPseudo-infarctionSTEMI mimic

Identifiers

PMID42325641
PMCPMC13282105

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