Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Neoplastic pericardial disease.

E W Hancock1

  • 1Cardiology Division, Stanford University School of Medicine, California.

Cardiology Clinics
|November 1, 1990
PubMed
Summary

Metastatic cancer spread to the pericardium is a common cause of cardiac tamponade. Echocardiography-guided pericardiocentesis is a safe and effective initial treatment for neoplastic pericardial effusion.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Chest pain, hypotension, and bradycardia.

Hospital practice (1995)·2003
Same author

Possible AV dissociation after cardioversion.

Hospital practice (1995)·2001
Same author

An unusual ECG after spinal surgery.

Hospital practice (1995)·2001
Same author

Differential diagnosis of restrictive cardiomyopathy and constrictive pericarditis.

Heart (British Cardiac Society)·2001
Same author

Aberrant conduction or ectopic beats?

Hospital practice (1995)·2001
Same author

Bradycardia with a changing P-R interval.

Hospital practice (1995)·2001

Area of Science:

  • Oncology
  • Cardiology
  • Pathology

Background:

  • Pericardial metastasis is the most frequent cause of cardiac tamponade in hospitalized patients.
  • Lung, breast, and hematologic cancers account for most cases, sometimes presenting as the initial sign of disease.
  • Differential diagnoses include radiation pericarditis, chemotherapy cardiotoxicity, and non-neoplastic pericardial disease.

Purpose of the Study:

  • To review the diagnosis and management of neoplastic pericardial effusion and cardiac tamponade.
  • To discuss treatment options for initial management and recurrent disease.

Main Methods:

  • Literature review of neoplastic pericardial effusion and cardiac tamponade.
  • Discussion of diagnostic considerations and therapeutic interventions.

Main Results:

  • Echocardiography-guided pericardiocentesis with percutaneous catheter drainage is safe and effective for initial management.
  • Further treatment options for recurrent effusion include sclerosis, chemotherapy, radiation, and pericardiectomy, though evidence is limited.

Conclusions:

  • Neoplastic pericardial effusion requires careful diagnosis and management.
  • Initial management often involves pericardiocentesis, with further treatment tailored to individual patient factors and disease prognosis.

Related Experiment Videos