title: [A case of lung adenocarcinoma with uncontrollable myocardial metastasis and pericardial effusion].
abstract: A 73-year-old Japanese man visited a local hospital due to palpitations and dyspnea. He was diagnosed as having lung cancer (adenocarcinoma, cT1aN2M1b (BRA), stage Ⅳ), but he did not want to receive any anticancer medications, and was simply being observed. Several months later, he was referred to our hospital due to exacerbation of the dyspnea. His chest computed tomography revealed massive pericardial effusion, therefore he was diagnosed as having cardiac tamponade due to carcinomatous pericarditis and was immediately hospitalized. Upon admission, pericardial fenestration was firstly applied in order to drain pericardial effusion, and intraoperative cardiac findings showed suspicion of myocardial and pericardial metastasis. Immediately after the pericardiotomy, he suffered from cardiac arrest caused by shock. In lung cancer patients with pericardial effusion, even though it is rare, myocardial metastasis in addition to carcinomatous pericarditis and pericardial metastasis should be kept in mind.
authors.affiliation: Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
authors.forename: Takanobu
authors.initials: T
authors.lastname: Johtatsu
authors.forename: Shingo
authors.initials: S
authors.lastname: Noguchi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yatera
authors.forename: Shuichi
authors.initials: S
authors.lastname: Shinohara
authors.forename: Souichi
authors.initials: S
authors.lastname: Oka
authors.forename: Kei
authors.initials: K
authors.lastname: Yamasaki
authors.forename: Chinatsu
authors.initials: C
authors.lastname: Nishida
authors.forename: Toshinori
authors.initials: T
authors.lastname: Kawanami
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Kawanami
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ishimoto
authors.forename: Tomoko
authors.initials: T
authors.lastname: Sou
authors.forename: Takashi
authors.initials: T
authors.lastname: Yoshimatsu
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Uramoto
authors.forename: Fumihiro
authors.initials: F
authors.lastname: Tanaka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mukae
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000628:therapy; D000077192:Adenocarcinoma of Lung; D000368:Aged; D002305:Cardiac Tamponade; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000556:secondary* / Q000628:therapy; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000628:therapy; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology*; D014057:Tomography, X-Ray Computed