Primary Lymphoma Presenting in an Ascending Aortic Aneurysm: A Case Report

Lymphoma
01/08/2020

Aorta (Stamford). 2020 Apr;8(2):38-40. doi: 10.1055/s-0040-1701529. Epub 2020 Jul 31.

ABSTRACT

Small lymphocytic lymphoma (SLL) is rarely associated with thoracic aortic aneurysms. Aneurysm of the ascending aorta associated with SLL has never been reported before. We describe the case of an asymptomatic 68-year-old woman who presented with a 5.5-cm aneurysm of the ascending aorta and no prior history of hematological disorders. Following excision and repair, the surgical specimen showed infiltration of the aortic wall by lymphocytes, expressing markers consistent with SLL. While


symptomatic SLL carries a poor prognosis, risk stratification tools are applied to guide management strategies in asymptomatic patients.