Pericardial and Pleural Effusion in Patient with Relapse Stage IV Breast Cancer: Same Pathology, Different Etiology?
Vienna Rosalinda(1*), Anggoro Budi Hartopo(2), Dyah Wulan Anggrahini(3), Bambang Irawan(4)
(1) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada – Dr. Sardjito Hospital, Yogyakarta.
(2) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada – Dr. Sardjito Hospital, Yogyakarta.
(3) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada – Dr. Sardjito Hospital, Yogyakarta.
(4) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada – Dr. Sardjito Hospital, Yogyakarta.
(*) Corresponding Author
Abstract
Pericardial effusion associated with malignacy has poor prognosis. The prompt identification of etiology is mandatory, such that timely management can be performed and survival can be increased. However, difficulty in etiology determination is commonly encountered. In this case, we report female patient with relapse stage IV breast cancer who develop massive pericardial and bilateral pleural effusion. The similar characteristics were found in both effusion fluids, however the identification of etiology was not similar. Metastatic cells were found in pleural effusion, whereas they were absent in pericardial effusion.
Keywords
Full Text:
PDFReferences
Rooper L.M., Ali S.Z., Olson M.T. 2016. A minimum volume of more than 60 ml is necessary for adequate cytology diagnosis of malignant pericardial effusions. Am J Clin Pathol, 145:101-106.
Adler Y., Charron P., Imazio M., Badano L., Barón-Esquivias G., Bogaert J., et al. 2015. ESC Guidelines for the diagnosis and management of pericardial diseases. Eur Heart J, 36:2921-2964.
Klein A.L., Abbara S., Agler D.A., Appleton C.P., Asher C.R., Hoit B., et al. 2013. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease. J Am Soc Echocardiogr, 26:965-1012.
Patel N., Rafique A.M., Eshaghian S., Mendoza F., Biner S., Cercek B., et al. 2013. Retrospective comparison of outcomes, diagnostic value, and complications of percutaneous prolonged drainage versus surgical pericardiotomy of pericardial effusion associated with malignancy. Am J Cardiol, 112:1235- 1239.
Labbé C., Tremblay L., Lacasse Y. 2015. Pericardiocentesis versus pericardiotomy for malignant pericardial effusion: a retrospective comparison. Curr Oncol, 22:412-416.
El Haddad D., Iliescu C., Yusuf S.W., William W.N. Jr., Khair T.H., Song J., et al. 2015. Outcomes of cancer patients undergoing percutaneous pericardiocentesis for pericardial effusion. J Am Coll Cardiol, 66:1119- 1128.
Jama G.M., Scarci M., Bowden J., Marciniak S.J. 2014. Palliative treatment for symptomatic malignant pericardial effusion. Interact Cardiovasc Thorac Surg, 19:1019-1026.
Imazio M., Adler Y. 2013. Management of pericardial effusion. Eur Heart J, 34:1186-1197.
DOI: https://doi.org/10.22146/aci.40856
Article Metrics
Abstract views : 1469 | views : 2973Refbacks
- There are currently no refbacks.
Copyright (c) 2018 Vienna Rosalinda, Anggoro Budi Hartopo, Dyah Wulan Anggrahini, Bambang Irawan
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
ACI (Acta Cardiologia Indonesiana) is indexed by:
ACI (Acta Cardiologia Indonesiana) is published by:
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Address: Radiopoetro Building 2nd Floor, West Wing, Farmako Street, Sekip, Yogyakarta, Indonesia 55281
ACI (Acta Cardiologia Indonesiana) is endorsed by: