Key result
In 13 patients presenting with pericardial tamponade as the first manifestation of adenocarcinoma, mean survival was 4 months.
Case Report (n=13)
Pericardial tamponade can be the initial presentation of adenocarcinoma, which carries a poor prognosis with a mean survival of 4 months despite intervention.
Pericardial tamponade may signal occult adenocarcinoma; this Level 5 series leaves optimal cytology use open for prospective study.
We hereby report on 13 cases of pericardial tamponade as the first manifestation of an adenocarcinoma. The primary tumor was detected in 10 cases: 7 lung, 1 stomach, 1 breast and 1 thyroid. A first cytologic examination of the pericardial fluid yielded the diagnosis of adenocarcinoma in 10 cases, whereas a second cytology was needed in another two cases. The pericardial biopsy was positive in 7 out of 7 patients. The therapeutic procedures included pericardiocentesis in 9 patients (6 of whom had recurrent tamponade), a pericardial window in 4 and pericardiotomy in 4 (without recurrences). The mean survival was 4 months.
No takes yet. Share an insight, caveat, or question.
Gándara et al. (1997) conducted a case report in Pericardial tamponade as the first manifestation of adenocarcinoma (n=13). Pericardiocentesis, pericardial window, or pericardiotomy was evaluated on Survival. In 13 patients presenting with pericardial tamponade as the first manifestation of adenocarcinoma, mean survival was 4 months.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: