Lung cancer with malignant pericardial effusion

Case contributed by Dr Roberto Schubert

Presentation

Cough, dyspnoea, weight loss.

Patient Data

Age: 65
Gender: Female

Case Discussion

pericardial effusion is characterised by build up of fluid in the pericardial space (a normal pericardiac sac contains approximately 30 - 50 mls of fluid). 

The pericardium, including the epicardium (visceral layer of the pericardium) is by far the most commonly affected site. The myocardium can be involved through direct tumor extension from the pericardium. However, malignant melanoma may result in diffuse myocardial involvement through hematogenous spread. Only about 5% of cardiac metastases are endocardial/intracavitary lesions 1.

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Case information

rID: 16330
Case created: 11th Jan 2012
Last edited: 24th Oct 2015
System: Chest
Inclusion in quiz mode: Included

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