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[Cardiac tamponade as the first symptom of lung cancer].

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.
AuthorsLeszek Gromadziński, Piotr Przelaskowski, Beata Januszko-Giergielewicz, Jerzy Górny, Aleksander Stankiewicz, Andrzej Każarnowicz, Piotr Pruszczyk
JournalPneumonologia i alergologia polska (Pneumonol Alergol Pol) Vol. 81 Issue 2 Pg. 149-53 ( 2013) ISSN: 0867-7077 [Print] Poland
Vernacular TitleTamponada serca jako pierwszy objaw raka płuca.
PMID23420432 (Publication Type: Journal Article)
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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