Almajed Mohamed Ramzi, Obri Mark S, Kamran Wasih, Entz Abigail
Internal Medicine, Henry Ford Hospital, Detroit, USA.
Radiology, Henry Ford Hospital, Detroit, USA.
Cureus. 2022 Jul 12;14(7):e26787. doi: 10.7759/cureus.26787. eCollection 2022 Jul.
Carcinomatous pericarditis is a rare complication of locally aggressive breast cancer in which malignant cells directly extend into the pericardium causing inflammation and creating a pericardial effusion. A 40-year-old woman with untreated metastatic breast cancer presented to an outpatient clinic in significant distress with symptoms of progressive shortness of breath and bilateral leg swelling. An urgent echocardiogram demonstrated a large pericardial effusion with echocardiographic evidence of cardiac tamponade. She underwent emergent pericardiocentesis of the effusion that was deemed to be malignant after cytologic evaluation. Subsequently, she opted for palliative treatment involving the surgical creation of a right pericardial window and placement of an indwelling pleural catheter. Internists should maintain a high index of suspicion for malignant cardiac tamponade in at-risk patients, especially those with locally aggressive and advanced malignancies.
癌性心包炎是局部侵袭性乳腺癌的一种罕见性并发症罕见并发症，其中恶性细胞直接蔓延至心包，引发炎症并导致心包积液。一名40岁未接受治疗的转移性乳腺癌女性患者因进行性气短和双侧腿部肿胀症状而极度痛苦地前往门诊就诊。紧急超声心动图显示大量心包积液，并伴有心脏压塞的超声心动图证据。她接受了紧急心包穿刺抽液，细胞学评估后积液被判定为恶性。随后，她选择了姑息治疗，包括手术创建右心包开窗和放置一根留置胸膜导管。内科医生应对高危患者，尤其是那些患有局部侵袭性和晚期恶性肿瘤的患者，保持对恶性心脏压塞的高度怀疑指数。
