Severe exudative pericarditis can be the initial and sole presenting sign of bronchogenic carcinoma, which may be refractory to treatment and lead to fatal cardiac tamponade.
Pericarditis may signal occult bronchogenic carcinoma; case evidence leaves open effective strategies to avert fatal tamponade.
An exudative pericarditis was the only sign of an adenocarcinoma arising from the right main bronchus of the lung for two and a half months. No metastases were found at the time of diagnosis. Pericarditis relapsed quickly after repeated pericardiocenteses, and systemic chemotherapy did not influence its course. Cardiac tamponade caused the death of the patient.
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Danova et al. (1985) studied this question.
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