Key result
Cardiac tamponade secondary to direct tumor infiltration from advanced gastric cancer is an exceptional entity with a very poor prognosis and lacks well-established management algorithms.
Why the study?
Pericardial involvement from gastric cancer secondary to direct tumor infiltration is uncommon, and its manifestation as cardiac tamponade lacks well-established diagnostic and therapeutic algorithms.
Case Report (n=1)
Cardiac tamponade due to direct tumor infiltration from advanced gastric cancer is a rare condition with a poor prognosis and no established management algorithms.
Warrants consideration in tamponade differentials among gastric cancer patients; leaves open evidence-based management algorithms.
INTRODUCTION AND IMPORTANCE: Pericardial involvement due to gastric cancer is uncommon, especially when it is secondary to direct tumor infiltration. Its manifestation as cardiac tamponade is an exceptional situation that represents a challenge for the treating medical team. CASE PRESENTATION: a case of a patient with advanced gastric cancer with cardiopericardial infiltration, complicated with cardiac tamponade is reported. A narrative review of the diagnostic and therapeutic management was performed. CLINICAL DISCUSSION: There are no well-established diagnostic and therapeutic algorithms. CONCLUSIONS: It is such an exceptional entity that most of the available bibliography is based on case reports or expert opinions. It is a situation with a very bad prognosis.
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Mansilla et al. (2021) conducted a case report in Advanced gastric cancer with cardiopericardial infiltration and cardiac tamponade (n=1). Diagnostic and therapeutic management was evaluated. Cardiac tamponade secondary to direct tumor infiltration from advanced gastric cancer is an exceptional entity with a very poor prognosis and lacks well-established management algorithms.
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