Scamocellular broncogenic carcinoma with pericardial involvement as the only distance metastasis
DOI:
https://doi.org/10.35839/repis.5.3.945Keywords:
pericardial effusion, pericardial metastasis, bronchogenic carcinomaAbstract
Squamous cell carcinoma of the lung causes distant metastases, rarely to the heart, causing pericardial effusion with evolution to cardiac tamponade and even death. We present the case of a middle-aged man who came to the emergency room due to chest pain with an incidental finding of a lesion at the level of the right lower lobe (LID) on the chest X-ray, during his study a single cardiac metastasis was observed as the only one Clinical manifestation of pericardial effusion without hemodynamic affectation, pharmacological treatment was started due to the diagnosis of squamous cell carcinoma, known before the appearance of the effusion, and he was referred to Oncology for chemotherapy treatment with improvement of the same without the need for invasive techniques such as pericardiocentesis or pericardiectomy. With this case, we observe the rarity of the pericardial effusion caused by the only metastasis of the patient from a lung carcinoma and its evolution without invasive treatments.
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Gromadziński L, Przelaskowski P, Januszko-Giergielewicz B, Górny J, Stankiewicz A, Każarnowicz A, Pruszczyk P. Tamponada serca jako pierwszy objaw raka płuca [Cardiac tamponade as the first symptom of lung cancer]. Pneumonol Alergol Pol. 2013;81(2):149-53.
Wenger NK. Pericardial disease in the elderly. Cardiovasc Clin 1992; 22:97–103.
Imazio M, Adler Y. Management of pericardial effusion. Eur Heart J. 2013 Apr;34(16):1186-97.
Pijoan R, Castro A, Centelles M, Rafel J. Taponamiento pericárdico y masa en la cavidad pericárdica como primera manifestación clínica de una neoplasia pulmonar. Rev Esp Cardiol 1998; 51: 164-166.
Butany J, Leong SW, Carmicheal K, et al. A 30-year analysis of cardiac neoplasms at autopsy. Can J Cardiol 2005; 21:675–80.
Hanfling SM. Metastatic cancer to the heart. Review of the literature and report of 127 cases. Circulation. 1960; 22: 474-83.
Bussani R, de- Giorgio F, Abbate A, Silvestri F. Cardiac metastases. J Clin Pathol. 2007;60: 27-34.
Eliskova M, Eliska 0. Lymph drainage of the dog heart. Folia Morphologica 1974; 22:320-3.
Tamura A, Matsubara O, Yoshimura N, Kasuga T, Akagawa S, Aoki N, Cardiac metastasis of lung cancer. A study of metastatic pathways and clinical manifestations. Cancer. 1992;70: 437-42.
Gupta NC, Rogers JS, Graeber GM et al. Clinical role of F- 18 fluorodeoxyglucose positron emission tomography imaging in patients with lung cancer and suspected malignant pleural effusion.Chest 2002; 122: 1918–24.
Avondo S, Andreis A, Casula M, Imazio M. Update on diagnosis and management of neoplastic pericardial disease. Expert Rev Cardiovasc Ther. 2020 Sep;18(9):615-623.
Zhang J, Zhang Q, Chen X, Zhang N. Management of neoplastic pericardial disease. Herz. 2020 Dec;45(Suppl 1):46-51.
Hyun D, et al. Pleural or pericardial metastasis: A significant factor affecting efficacy and adverse events in lung cancer patients treated with PD-1/PD-L1 inhibitors. Thoracic Cancer 2018; 9: 1500–1508.
Heinzerling L, Ott PA, Hodi FS, Husain AN, Tajmir-Riahi A, Tawbi H, Pauschinger M, Gajewski TF, Lipson EJ, Luke JJ. Cardiotoxicity associated with CTLA4 and PD1 blocking immunotherapy. J Immunother Cancer. 2016 Aug 16;4:50.
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Copyright (c) 2021 Francisco M. Paez-Codeso, Esperanza Salcedo-Lobera, Mario Arredondo-López
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