Chen K T
J Surg Oncol. 1983 Jul;23(3):167-8. doi: 10.1002/jso.2930230308.
The clinicopathologic features of a case of cardiac tamponade as the initial presentation of extracardiac malignancy is reported and compared with those of previously reported cases. The lung was the site of the primary tumor in 58% of the cases. Irrespective of the sites of the primary tumor, mediastinal involvement or intrapulmonary metastases or both were documented in 88% of the cases. Examinations of the pericardial fluid and pericardiectomy specimen were negative in a considerable number of cases. Therefore, careful examination of the mediastinum and the accessible lung tissue at the time of pericardiectomy may reveal the malignant nature of the disease which may otherwise remain undiagnosed.
本文报告了一例以心脏压塞为心外恶性肿瘤首发表现的病例的临床病理特征，并与既往报道的病例进行了比较。58%的病例中，原发肿瘤位于肺部。无论原发肿瘤的部位如何，88%的病例记录有纵隔受累或肺内转移或两者皆有。相当多病例的心包积液检查和心包切除标本检查结果为阴性。因此，心包切除时仔细检查纵隔和可及的肺组织可能会揭示该疾病的恶性本质，否则可能仍无法诊断。
