eISSN: 1897-4309
ISSN: 1428-2526
Contemporary Oncology/Współczesna Onkologia
Current issue Archive Manuscripts accepted About the journal Supplements Addendum Special Issues Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
1/2021
vol. 25
 
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abstract:
Review paper

Case study-based systematic review of literature on lymphoma-associated cardiac tamponade

Mohammad Abrar Shareef
1
,
Abdulaziz M. Eshaq
2
,
Rasha Alshawaf
3
,
Emad Alharthi
4
,
Reema AbuDawas
2
,
Abdulhadi A. AlAmodi
5

1.
Department of Internal Medicine, Sebasticook Valley Hospital, Pittsfield, Maine, USA
2.
College of Medicine, Alfiasal University Riyadh, Saudi Arabia
3.
Internal Medicine Department, Security Forces Hospital Program Riyadh, Saudi Arabia
4.
Internal Medicine Department, Prince Sultan Military Medical City Riyadh, Saudi Arabia
5.
Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Jackson State University, Jackson, Mississippi, USA
Contemp Oncol (Pozn) 2021; 25 (1): 57–63
Online publish date: 2021/02/23
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This study aimed to compile all the relevant studies of patients presenting with pericardial tamponade before or after diagnosis of lymphoma, describe the clinical presentations of patients with lymphoma and cardiac tamponade, and assess the difference in overall survival based on the timing of cardiac tamponade diagnosis. A comprehensive search strategy was conducted in the following databases: PubMed and Cochrane Library, using the following keywords: Lymphoma AND Cardiac Tamponade. The criteria for eligibility included cases with a confirmed diagnosis of lymphoma and cardiac tamponade, human studies, and publications in English language. The statistical analysis was performed using IBM Statistical Package for Social Sciences (SPSS) version 20. We included 48 research articles (n = 52 cases) with adequate reporting of measured outcomes. The median age of the patients was 52 (9–94) years. Only 6 patients were noted to have primary cardiac lymphoma, while the majority of cases were considered to have secondary cardiac lymphoma (88.5%). According to the data on the type of lymphoma reported through cytology and immunohistochemistry, 49 patients were diagnosed with non-Hodgkin lymphoma, and of these cases the most common subtype was large B-cell lymphoma (42.9%). Overall, the average duration of illness was 14 ± 23 days. A total of 13 patients had distant heart sounds, 12 cases were noted to be hypotensive, and 13 subjects were found to have increased jugular venous pressure. Our retrospective study demonstrated that most patients presented with pericardial tamponade after lymphoma diagnosis, and those were mostly secondary cardiac lymphoma of the non-Hodgkin type with large B-cell as the most common subtype. Dyspnoea, oedema, and constitutional symptoms were the most common presenting signs. The median overall survival of patients with lymphoma and cardiac tamponade is 4 months, with no significant difference in mortality in the presentation timing before and after the diagnosis of lymphoma.
keywords:

lymphoma, pericardial effusion, cardiac tamponade, systematic review

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