Why the study?
Exudative pericarditis in cancer patients often marks poor prognosis, but diagnosing and treating rare cardiac metastases remains challenging due to scarce symptoms and absent management recommendations.
Cardiac metastasis from renal cell carcinoma can manifest as acute exudative pericarditis, requiring a multidisciplinary approach for diagnosis and management.
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May alert clinicians to cardiac metastasis in renal carcinoma with pericarditis; extends sparse case literature but leaves management questions open.
INTRODUCTION: Exudative pericarditis in a cancer patient is often a first manifestation of the disease and is considered a marker of a poor prognosis. According to the literature, the neoplastic etiology of a first-diagnosed exudative pericarditis is indicated by the following signs: cardiac tamponade, recurrent pericarditis, fever above 38°С, subacute course of pericarditis, absence of the effect of nonsteroidal anti-inflammatory drugs. The article presents a case report of cardiac metastasis in renal carcinoma manifested by acute exudative pericarditis in a 63-year old female patient. CONCLUSION: Diagnosis and treatment of cardiac metastasis presents difficulties in clinical practice due to the rarity of the disease, scarce symptoms, and the absence of clear recommendations for the management of such patients. Nevertheless, this rare route of metastasizing can significantly influence patient treatment and prognosis and requires cooperation between different specialists of the multidisciplinary team: oncologists, cardiologists, urologists (in case of renal cell carcinoma).
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Uryasyev et al. (2023) studied this question.
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