Cardiac Involvement in Non-Hodgkin Lymphoma, an Incidental Large Atrial Mass: A Case Report

INTRODUCTION Cardiac involvement as an initial presentation of malignant lymphoma has been a rare occurrence. CASE PRESENTATION We have reported a 78 year old man with complaint of abdominal pain and vomiting. In patients preoperative evaluation for surgical management of an intra-abdominal mass, a large intracardiac mass has found incidentally during the echocardiography. Pathologic biopsy of right atrial mass that has removed by open heart surgery shown: non Hodgkin-B cell lymphoma. Bone marrow biopsy was taken and was positive for lymphomatous involvement. CONCLUSIONS The patient has treated by CHOP chemotherapy regiment successfully and after completion of treatment, there was complete response.