FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 349:1369-1377 October 2, 2003 Number 14 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Supplementary Material Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Presentation of Case

A 44-year-old man was seen in the clinic because of a right atrial mass.

Six years earlier, the patient had been found to have Pneumocystis carinii pneumonia and human immunodeficiency virus (HIV) infection. He had returned to a satisfactory state of health with the use of highly active antiretroviral therapy. He did not have severe disabling symptoms from either the HIV infection or its management.

Ten months before being seen in the clinic, he had an episode of substernal pain that lasted nine hours. An exercise stress test performed at another hospital did not provoke chest pain or ST-segment depression. . . . [Full Text of this Article]

Differential Diagnosis

Cardiac Tumors

            Myxoma

            Sarcoma

            Kaposi's Sarcoma

            Lymphoma

HIV-Associated Non-Hodgkin's Lymphoma

Clinical Diagnosis

Dr. Lawrence D. Kaplan's Diagnosis

Pathological Discussion

Discussion of Management

Treatment of Cardiac Lymphoma

Treatment of HIV-Associated Lymphoma

Anatomical Diagnosis

Source Information

From the Division of Hematology–Oncology, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco (L.D.K.); the Department of Medicine, Division of Cardiology (N.A.A., G.H.), and the Department of Pathology (L.R.Z.), Massachusetts General Hospital, Boston; and the Departments of Cardiology (N.A.A.), Medicine (G.H.), and Pathology (L.R.Z.), Harvard Medical School, Boston.

This article has been cited by other articles:

• Hsue, P. Y., Waters, D. D. (2005). What a Cardiologist Needs to Know About Patients With Human Immunodeficiency Virus Infection. Circulation 112: 3947-3957 [Abstract] [Full Text]  
• Haverkamp, M.C.P., Scholte, A.J.H.A., Holman, E.R., Jongbloed, M.R.M., Schippers, E.F., de Roos, A., van der Wall, E.E., Poldermans, D., Bax, J.J., Schalij, M.J. (2005). Contrast echocardiography as a useful additional diagnostic tool in evaluating a primary cardiac tumor. Eur J Echocardiogr 6: 388-391 [Abstract] [Full Text]