Mammarella A, Paoletti V, Filippello C P, Mariani A R
Istituto di Terapia Medica, Università degli Studi di Roma La Sapienza.
Clin Ter. 1990 Oct 15;135(1):23-30.
The authors describe two cases of cardiac tamponade that were the first manifestation of an extracardiac tumor; they stress that this type of presentation described in the literature as an extremely rare occurrence, has become more frequent in recent years as a result of both a higher prevalence in absolute terms and of a more reliable detection thanks to the availability of more sensitive and more practicable diagnostic techniques. Having briefly described the pathophysiology of pericardial effusions with special reference to those of neoplastic origin, the authors detail the most sensitive tools for a correct diagnosis.
作者描述了两例心外肿瘤的首发表现为心脏压塞的病例；他们强调，这种在文献中被描述为极为罕见的表现类型，近年来由于绝对患病率的提高以及得益于更敏感、更实用的诊断技术而使检测更可靠，已变得更为常见。在简要描述了心包积液的病理生理学，特别是肿瘤性心包积液的病理生理之后，作者详细介绍了用于正确诊断的最敏感工具。
