NON-HODGKIN-LYMPHOMA WITH EXCLUSIVE INVOLVEMENT OF THE HEART AND THE GASTROINTESTINAL-TRACT

An extranodal high-grade B-cell lymphoma, centroblastic type, with exc lusive involvement of the heart, stomach and small bowel was detected at postmortem examination following the death of an 80-year-old man. A utopsy revealed massive cardiomegaly with a total heart weight of 1800 g owing to an intramyocardial tumour involving the right ventricle, a nd multiple mucosal tumour plaques and nodules in the stomach and smal l bowel. The case highlights the difficulties of diagnosing cardiac ly mphoma clinically even in the presence of a large tumour mass.