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A Case of cardiac tamponade as an initiai sign of lung cancer Kenji Izuhara 1,2 , Tatsuya Yoshimi 1 , Shozo Inoue 1 , Akira Yamada 3 , Hiroshi Akamizu 4 1The Department of Internal Medicine, Hiroshima Red Cross Hospital 2Present:The First Department of Internal Medicine, Kyushu University 3The Department of Cardiology, Hiroshima Red Cross Hospital 4The Department of Pathology, Hiroshima Red Cross Hospital pp.337-339
Published Date 1987/3/15
DOI https://doi.org/10.11477/mf.1404205031
  • Abstract
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A case of cardiac tamponade as an initial sign of lung cancer was reported. A 57-year-old male experienc-ed chill, chest pain, cough with bubbling sputum. A chest X-ray film showed a solitary round shadow in the right middle lung field and an enlarged globular heart. Echocardiogram disclosed a large pericardial effusion. Pericardial aspiration confirmed the presence of adenocarcinoma cells and slow drainage relieved symptoms.

Autopsy disclosed a tumor of adenocarcinoma (3×2.2 ×2cm) in the right lower of the lung. Tumor cells were also found in right intrapulmonary, mediastinal, hilar lymph nodes and diffusely, in the pericardial lymphatics.

These findings suggested the tumor cells were spread diffusely to pericardial lymphatics first, as is not usual, via mediastinal lymphatic flow retrogradely. Conse-quently, large pericardial effusion was an initial pre-sentation.


Copyright © 1987, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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