<abstract xml:lang="en" xmlns="http://www.w3.org/1999/xhtml"><bold>Background.</bold> Neoplastic pericarditis can be presented as acute pericarditis, pericardial effusion, effusive-constrictive pericarditis or cardiac tamponade. For the majority of patients, a clinical manifestation of neoplastic pericarditis is absent or remains unrecognised during their life.<bold>Case report.</bold> A 69-year-old non-smoking woman with acute dyspnoea, tachycardia, jugular venous distension, hepatomegaly and right side pleural effusion was presented in the emergency department. The roentgen picture of the chest confirmed pleural effusion and revealed enlarged heart. An emergency echocardiogram established the diagnosis of cardiac tamponade. The patient improved immediately after the therapeutic pericardiocentesis. Cytology of pericardial fluid confirmed malignant glandular cells, consistent with metastatic adenocarcinoma. A computed chest tomography showed a right side pleural effusion and a solitary round lesion in the right lower lobe of the lung. Bronchoscopy with fundoscopic lung biopsy and brushing revealed adenocarcinoma.<bold>Conclusions.</bold> Cardiac tamponade as the initial manifestation of malignancy is rare and rare is also malignant pericardial effusion due the adenocarcinoma of the lung in a non-smoking woman. The presented patient had one of the longest survival reported in literature despite a limited life expectancy regardless of the treatment in the patient presented with neoplastic pericarditis.</abstract>

Background. Neoplastic pericarditis can be presented as acute pericarditis, pericardial effusion, effusive-constrictive pericarditis or cardiac tamponade. For the majority of patients, a clinical manifestation of neoplastic pericarditis is absent or remains unrecognised during their life.Case report. A 69-year-old non-smoking woman with acute dyspnoea, tachycardia, jugular venous distension, hepatomegaly and right side pleural effusion was presented in the emergency department. The roentgen picture of the chest confirmed pleural effusion and revealed enlarged heart. An emergency echocardiogram established the diagnosis of cardiac tamponade. The patient improved immediately after the therapeutic pericardiocentesis. Cytology of pericardial fluid confirmed malignant glandular cells, consistent with metastatic adenocarcinoma. A computed chest tomography showed a right side pleural effusion and a solitary round lesion in the right lower lobe of the lung. Bronchoscopy with fundoscopic lung biopsy and brushing revealed adenocarcinoma.Conclusions. Cardiac tamponade as the initial manifestation of malignancy is rare and rare is also malignant pericardial effusion due the adenocarcinoma of the lung in a non-smoking woman. The presented patient had one of the longest survival reported in literature despite a limited life expectancy regardless of the treatment in the patient presented with neoplastic pericarditis.

Cardiac tamponade as the initial manifestation of pulmonary adenocarcinoma

Department of Internal Medicine, General Hospital Ptuj

University Clinic of Respiratory and Allergic Diseases Golnik, Slovenia

Radiology and Oncology

{"article-title":"Cardiac tamponade as the initial manifestation of pulmonary adenocarcinoma"}

Background. Neoplastic pericarditis can be presented as acute pericarditis, pericardial effusion, effusive-constrictive pericarditis or cardiac tamponade. For...

Cardiac tamponade as the initial manifestation of pulmonary adenocarcinoma

Published Online: Jan 21, 2008

Page range: 161 - 165

DOI: https://doi.org/10.2478/v10019-007-0025-6

Keywords
lung neoplasms, adenocarcinoma, cardiac tamponade, pericardial effusion

This content is open access.

Cardiac tamponade as the initial manifestation of pulmonary adenocarcinoma

Published Online: Jan 21, 2008

Page range: 161 - 165

DOI: https://doi.org/10.2478/v10019-007-0025-6

Keywordslung neoplasms, adenocarcinoma, cardiac tamponade, pericardial effusion

This content is open access.

Keywords
lung neoplasms, adenocarcinoma, cardiac tamponade, pericardial effusion