del Toro Cervera J, Granda Martin M J, Pérez Tamayo I, Llorca Garrigos R, González Ramallo V, Muiño Miguez A
Departamento de Urgencias, Hospital General Universitario Gregorio Marañón, Madrid.
An Med Interna. 1995 Jun;12(6):286-8.
Cardiac tamponade (CT) and Carcinomatous lymphangitis (CL) association as an initial clinical presentation of a neoplasm is very uncommon, creating diagnosis difficulties in the patient first evaluation. This paper reports one case of a male who was admitted in Emergency Department with clinical and radiological findings of heart failure. Following studies showed CT and CL secondary to a bronchial adenocarcinoma. Differential diagnosis is really important for its associated therapeutic implications because of the CT hemodynamic worsening situation due to the diuretic and vasodilators used in the treatment of heart failure. An echocardiography should be done because it is very useful for the initial evaluation of a heart failure of obscure origin.
心脏压塞（CT）与癌性淋巴管炎（CL）关联作为肿瘤的初始临床表现非常罕见，在对患者进行首次评估时造成诊断困难。本文报告一例男性患者，因心力衰竭的临床和影像学表现入住急诊科。后续检查显示为支气管腺癌继发的CT和CL。鉴别诊断因其相关治疗意义而至关重要，因为在治疗心力衰竭时使用利尿剂和血管扩张剂会使CT的血流动力学情况恶化。应进行超声心动图检查，因为它对不明原因心力衰竭的初始评估非常有用。
