Pericardial tamponade as initial presentation of papillary thyroid carcinoma.
We herein describe a 19-year-old woman who presented with pericardial effusion that resulted in heart tamponade. The clinicopathological study revealed papillary carcinoma of the thyroid metastasized to the heart. Although malignant pericardial effusion is a known complication of thyroid cancer, it is rarely the first manifestation and shows a relatively favourable prognosis despite widespread metastases if adequate treatment is given.
González Valverde
F M
FM
Department of Surgery, Hospital De La Vega Baja, Orihuela, Spain. migova@terra.es
Gómez Ramos
M J
MJ
Moltó Aguado
M
M
Balsalobre
M D
MD
Menarguez
F
F
Mauri
F
F
Barreras
J A
JA
Torregrosa
N
N
Vázquez
J L
JL
D000328:Adult; D002291:Carcinoma, Papillary / Q000175:diagnosis* / Q000473:pathology; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary; D006801:Humans; D010490:Pericardial Effusion / Q000150:complications / Q000175:diagnosis; D013902:Radiography, Thoracic; D013964:Thyroid Neoplasms / Q000175:diagnosis* / Q000473:pathology