title: Pericardial tamponade as the first manifestation of adenocarcinoma.
abstract: We hereby report on 13 cases of pericardial tamponade as the first manifestation of an adenocarcinoma. The primary tumor was detected in 10 cases: 7 lung, 1 stomach, 1 breast and 1 thyroid. A first cytologic examination of the pericardial fluid yielded the diagnosis of adenocarcinoma in 10 cases, whereas a second cytology was needed in another two cases. The pericardial biopsy was positive in 7 out of 7 patients. The therapeutic procedures included pericardiocentesis in 9 patients (6 of whom had recurrent tamponade), a pericardial window in 4 and pericardiotomy in 4 (without recurrences). The mean survival was 4 months.
authors.affiliation: Services of Oncology, Hospital La Paz, Madrid, Spain.
authors.forename: I
authors.initials: I
authors.lastname: de la Gándara
authors.forename: E
authors.initials: E
authors.lastname: Espinosa
authors.forename: J
authors.initials: J
authors.lastname: Gómez Cerezo
authors.forename: J
authors.initials: J
authors.lastname: Feliu
authors.forename: C
authors.initials: C
authors.lastname: Garcia Girón
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000473:pathology; D000328:Adult; D001706:Biopsy; D001943:Breast Neoplasms / Q000150:complications; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D002637:Chest Pain / Q000209:etiology; D003371:Cough / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D004452:Echocardiography; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000473:pathology; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D008875:Middle Aged; D019152:Paracentesis; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D010491:Pericardial Window Techniques; D010492:Pericardiectomy; D012008:Recurrence; D013274:Stomach Neoplasms / Q000150:complications; D015996:Survival Rate; D013899:Thoracic Neoplasms / Q000150:complications*; D013964:Thyroid Neoplasms / Q000150:complications