Malignant Pericardial Effusion  

Oleh:

Xiong, Wei ; Shi, Chanjuan

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 09 (Mar. 2011), page 364:e18.
Topik: Alcohol Abuse; Tobacco Abuse; Cervical Lymph Node
Fulltext: Malignant Pericardial Effusion.pdf (81.4KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A 48-year-old man with a history of alcohol and tobacco abuse presented to the emergency department with a 2-month history of progressive dyspnea. Physical examination revealed distention of the jugular vein and an enlarged left cervical lymph node. An anteroposterior chest radiograph showed cardiomegaly (Panel A). Computed tomographic imaging of the chest (Panel B) revealed a large pericardial effusion (asterisk), a lung mass in the left lower lobe, and necrotic-appearing left supraclavicular lymphadenopathy. Echocardiography confirmed the presence of a circumferential pericardial effusion (Panels C and D and video; asterisk). Diastolic collapse of the right ventricular (RV) free wall (Panel C, arrow; and video) and systolic collapse of the right atrial (RA) free wall (Panel D, arrow; and video) were suggestive of cardiac tamponade physiology. Bedside pericardiocentesis yielded 2 liters of sanguineous pericardial fluid that tested positive for malignant cells. Fine-needle aspiration biopsy of the left cervical lymph node revealed adenocarcinoma. At the 15-month follow-up, the patient was continuing to receive chemotherapy for non–small-cell lung cancer.

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