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[Cardiac tamponade as the first symptom of lung cancer]
Leszek Gromadziński1, Piotr Przelaskowski, Beata Januszko-Giergielewicz
1Klinika Chorób Wewnętrznych, Gastroenterologii i Hepatologii, Szpital Uniwersytecki Uniwersytetu Warmińsko-Mazurskiego w Olsztynie, ul. Al. Warszawska 30, Olsztyn. lgol@op.pl
Abstract:
Pericardial effusion is a relatively common clinical problem. It is, however, rarely the first symptom of cancer. Cardiac tamponade testifies to an advanced stage of cancer and is a negative prognostic factor. This paper presents a patient in whom cardiac tamponade was the first symptom of lung cancer. A 63-year-old male, habitual smoker, was admitted to hospital due to progressive symptoms of exertional dyspnoea lasting for a few days and chest pain. Echocardiographic examination revealed a large amount of fluid in the pericardium with echocardiographic signs of a life-threatening cardiac tamponade. The patient underwent pericardial puncture and additional imaging examinations. Lung adenocarcinoma was recognized as the underlying disease. Due to the recurrence of the life-threatening cardiac tamponade, video-assisted thoracoscopic pericardial fenestration was performed and systemic chemotherapy was introduced with good results.
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