Malignant pericardial effusion as initial solitary site of metastasis from transitional cell carcinoma of the bladder.
A patient is presented whose first and sole evidence of metastatic transitional cell carcinoma of the bladder was pericardial metastasis with life-threatening cardiac tamponade. Definitive diagnosis and management was achieved with fluid cytology and video-assisted thoracic surgical pericardial biopsy and pericardial window.
Fabozzi
S J
SJ
Department of Urology, Eastern Virginia Medical School, Norfolk, Virginia.
Newton
J R
JR
Moriarty
R P
RP
Schellhammer
P F
PF
D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000150:complications / Q000556:secondary*; D006338:Heart Neoplasms / Q000150:complications / Q000556:secondary*; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology*; D010496:Pericardium; D001749:Urinary Bladder Neoplasms / Q000473:pathology*