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J Thorac Cardiovasc Surg 2005;130:870-874
© 2005 The American Association for Thoracic Surgery

Clinical-Pathologic Conference

Clinical-pathologic conference in general thoracic surgery: Cardiac lymphoma

^a Washington University School of Medicine, Barnes-Jewish Hospital, St Louis, Mo
^b Radiology, Washington University School of Medicine, Barnes-Jewish Hospital, Saint Louis, Mo
^c Nuclear Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, Saint Louis, Mo
^d Surgical Pathology, Washington University School of Medicine, Barnes-Jewish Hospital, Saint Louis, Mo
^e Medical Oncology, Washington University School of Medicine, Barnes-Jewish Hospital, Saint Louis, Mo
^f Radiation Oncology, Washington University School of Medicine, Barnes-Jewish Hospital, Saint Louis, Mo

Received for publication January 7, 2005; accepted for publication February 8, 2005.

^_* Address for reprints: Jennifer Bell Zoole, RN, Washington University School of Medicine, Department of Cardiothoracic Surgery, 3108 Queeny Tower, St Louis, MO 63110 (Email: zoolej@msnotes.wustl.edu).

The first 300 words of the full text of this article appear below.

	Case Presentation

 
Dr Lee
The patient is a 62-year-old man who had a brief episode of substernal chest pressure while lifting a heavy object at home. The pressure was alleviated with a few minutes of rest. Because the patient immediately felt better, he decided to wait to see his primary care physician at an appointment that was previously scheduled. He had asked for the appointment because of symptoms of dizziness and nose bleeding that had occurred during the 3 weeks before the episode of chest pressure.

His medical history is significant for prostate cancer, for which he underwent a prostatectomy in 1995, and new-onset hypertension that is controlled without medication.

On review of systems, he reported a little bit of increased shortness of breath over the past 6 months. He was able to walk a mile on flat ground, but after 2 flights of stairs, he became dyspneic. Also, over the past 6 months, he had a morning cough, with clear, thin mucous production. He reported long-standing reflux and constipation, for which he took stool softeners.

Neurologically, he mentioned having 3 episodes of dizziness over 3 weeks, but he never had syncope. He also had a history of ocular migraines for approximately 2 years.

Social history consisted of working as a serviceman for a heating and air-conditioning company. He had been exposed to asbestos about 35 years prior. He has a 50 pack-year smoking history but stopped smoking 12 years before presentation. He drinks an occasional glass of wine.

His family history is only significant for a heart attack that his father had at the age of 61 years and a mother with dementia. His allergies include tetanus shots made from horse serum and poison ivy.

The results of his physical examination were unremarkable. He had no palpable adenopathy. His neck and head were . . . [Full Text of this Article]

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