[Tumor-associated significant pericardiac effusions: analysis of 18 cases].
Metastatic infiltration is most frequent than primary pericardiac tumors. Most frequent tumors are adenocarcinoma and lymphomas. A retrospective analysis of 18 oncological patients with significant pericardiac effusion (SPE) is carried out. The conclusions of the study are: SPE can be the first manifestation of a neoplasm; frequently, pericardiac tamponade (PT) has a neoplastic origin; thorax is the most frequent localization of the primary tumor; pericardiac fluid (PF) cytology analysis has low diagnostic yield; most useful diagnostic tests are thoracocentesis, thorax computerized tomography (CT) and bronchoscopy; SPE in a neoplasm suggest poor short-term prognosis; poor prognosis variables in this series were primary tumor unfavorable histology, advanced tumor disease and (probably) presentation as PT.
Eroles Vega
G
G
Servicio de Medicina Interna, Hospital Severo Ochoa, Leganés, Madrid, Spain.
Rondón Fernández
P
P
Ferreiro López
D
D
Romero Pérez
C
C
Salcedo Pérez
S
S
Lacambra Calvet
C
C
Solis Villa
J
J
D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000209:etiology / Q000401:mortality / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009369:Neoplasms / Q000150:complications* / Q000401:mortality / Q000473:pathology; D010490:Pericardial Effusion / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D012189:Retrospective Studies; D016019:Survival Analysis