Pogány K, Van Der Graaf W T
Medisch Spectrum Twente, afd. Interne Geneeskunde, Enschede.
Ned Tijdschr Geneeskd. 1998 Oct 17;142(42):2281-4.
Pericardial effusion can occur as the first manifestation of disseminated cancer, as was demonstrated in the case of a 59-year-old woman who presented with respiratory insufficiency. In contrast, in three breast cancer patients aged 44, 55 and 53 pericardial effusion was shown to have a non-malignant cause, such as radiation or chemotherapy. Careful diagnostic procedures, including pericardiocentesis, should be performed to adjust the treatment to the underlying cause and to optimize the prognosis. It should be kept in mind that pericarditis in about half the patients suffering from a malignancy has a non-malignant cause.
心包积液可能是播散性癌症的首发表现，一名59岁出现呼吸功能不全的女性病例就证明了这一点。相比之下，在3名年龄分别为44岁、55岁和53岁的乳腺癌患者中，心包积液显示有非恶性病因，如放疗或化疗。应进行仔细的诊断程序，包括心包穿刺术，以根据潜在病因调整治疗并优化预后。应记住，约一半患有恶性肿瘤的患者的心包炎有非恶性病因。
