Department of Surgery, Kobe City Hospital Organization Kobe City Center West Hospital, Kobe Nagata-ku, Hyogo, Japan.
Breast Care (Basel). 2013 Mar;8(1):71-3. doi: 10.1159/000346831.
Malignant pericardial effusion caused by carcinomatous pericarditis is a complication of advanced malignancy. Breast cancer is the second most important cause of malignant pericardial effusion. Malignant pericardial effusion is the end stage of breast cancer, and the prognosis is very poor. Pericardial effusion may cause cardiac tamponade and sudden death if it is not controlled properly. There is a debate on which is the best method to control pericardial effusion.
We describe the clinical course of a 55-year-old woman with recurrent breast cancer, pericardial effusion, and cardiac tamponade caused by carcinomatous pericarditis. Thoracoscopic pericardial window was performed to control the pericardial effusion. The patient survived for about 5 years after being diagnosed with pericardial metastases.
The observed long-term survival in such a patient with the development of pericardial effusions and cardiac tamponade caused by carcinomatous pericarditis attributable to breast cancer is rare. Thoracoscopic pericardial window was effective in controlling the pericardial effusion.
癌性心包炎导致的恶性心包积液是晚期恶性肿瘤的一种并发症。乳腺癌是恶性心包积液的第二大重要病因。恶性心包积液是乳腺癌的终末期，预后非常差。如果不能适当控制，心包积液可能导致心包填塞和猝死。对于控制心包积液，哪种方法是最佳方法存在争议。
我们描述了一例 55 岁女性的临床病程，该女性患有复发性乳腺癌、心包积液和癌性心包炎导致的心包填塞。为控制心包积液而行胸腔镜下心包开窗术。该患者在被诊断为心包转移后存活了约 5 年。
在这种情况下，观察到心包积液和癌性心包炎导致的心包填塞发展后，乳腺癌患者的长期生存非常罕见。胸腔镜下心包开窗术在控制心包积液方面非常有效。
