[An elderly @entity1893 XXXX with a massive @entity5 of the heart].

@entity1 @entity1143 @entity706 @entity5 @entity75 @entity1887 @entity3726 @entity1199 @entity880 @entity1893
We report on an elderly @entity1 with a @entity706 forming a huge mass in the heart. An 82-year-old @entity1 became aware of general fatigue and a cough in August 1999. Her right supraclavicular, bilateral axillary, and right inguinal lymph nodes were swollen. A hypodermical mass in the right frontal chest was detected. Her left axillary lymph node was biopsied. She was diagnosed as having @entity1893 , diffuse large cell type, B-cell type. Computed tomography scans showed a markedly thickened right ventricular wall of the heart, swollen lymph nodes of the mediastinum, bilateral @entity1143 , and a @entity5 in the spleen. @entity706 cells were found in the @entity1143 , and the @entity706 was diagnosed as clinical stage IV. @entity1887 of the heart, ejection fraction (EF) 49%, was demonstrated with transthoracic echocardiography. EF increased to 70% after 3 courses of chemotherapy with @entity3726 regimen. All @entity75 disappeared after 6 courses of chemotherapy were completed. After consolidative radiotherapy with a total dose of 37 Gy to the mediastinum and heart, bilateral @entity1143 , elevation of the @entity1 's @entity880 dehydrogenase level and soluble @entity1199 receptor value were recognized, which suggested relapse of the @entity706 , although histopathological confirmation could not be realized.
