Abstract |
Pericardial effusion is a relatively common clinical problem. It is, however, rarely the first symptom of cancer. Cardiac tamponade testifies to an advanced stage of cancer and is a negative prognostic factor. This paper presents a patient in whom cardiac tamponade was the first symptom of lung cancer. A 63-year-old male, habitual smoker, was admitted to hospital due to progressive symptoms of exertional dyspnoea lasting for a few days and chest pain. Echocardiographic examination revealed a large amount of fluid in the pericardium with echocardiographic signs of a life-threatening cardiac tamponade. The patient underwent pericardial puncture and additional imaging examinations. Lung adenocarcinoma was recognized as the underlying disease. Due to the recurrence of the life-threatening cardiac tamponade, video-assisted thoracoscopic pericardial fenestration was performed and systemic chemotherapy was introduced with good results.
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Authors | Leszek Gromadziński, Piotr Przelaskowski, Beata Januszko-Giergielewicz, Jerzy Górny, Aleksander Stankiewicz, Andrzej Każarnowicz, Piotr Pruszczyk |
Journal | Pneumonologia i alergologia polska
(Pneumonol Alergol Pol)
Vol. 81
Issue 2
Pg. 149-53
( 2013)
ISSN: 0867-7077 [Print] Poland |
Vernacular Title | Tamponada serca jako pierwszy objaw raka płuca. |
PMID | 23420432
(Publication Type: Journal Article)
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Topics |
- Cardiac Tamponade
(diagnostic imaging, etiology, pathology, surgery)
- Humans
- Lung Neoplasms
(complications, diagnostic imaging, pathology)
- Male
- Middle Aged
- Pericardial Effusion
(etiology, surgery)
- Pericardial Window Techniques
- Pericardiectomy
(methods)
- Treatment Outcome
- Ultrasonography
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