Document Detail

Metastatic urothelial carcinoma to pericardia manifested by dyspnea from cardiac tamponade during systemic chemotherapy: Case report and literature review.
MedLine Citation:
PMID:  23093641     Owner:  NLM     Status:  PubMed-not-MEDLINE    
A 53-year-old man presented for further evaluation due to microscopic hematuria and left lumbar pain. Computed tomography revealed a large tumour in the left renal pelvis with multiple metastases. Despite effective systemic chemotherapy, he developed dyspnea, and was diagnosed with cardiac tamponade. Pericardial involvement in an advanced malignancy is common, but symptomatic cardiac metastasis from urothelial carcinoma is rare. Of the reports of symptomatic cardiac metastasis from urothelial carcinoma, only 3 cases presented as cardiac tamponade. We report here a rare case of cardiac tamponade caused by a renal pelvic carcinoma with positive cytodiagnosis of pericardial effusion. We also summarize and discuss the symptoms, treatment, and prognosis of the pathological condition, and present a brief review of previously published reports.
Seiya Hattori; Akira Miyajima; Takahiro Maeda; Toshikazu Takeda; Shinya Morita; Takeo Kosaka; Eiji Kikuchi; Mototsugu Oya
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Urological Association journal = Journal de l'Association des urologues du Canada     Volume:  6     ISSN:  1911-6470     ISO Abbreviation:  Can Urol Assoc J     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-24     Completed Date:  2012-10-25     Revised Date:  2013-02-19    
Medline Journal Info:
Nlm Unique ID:  101312644     Medline TA:  Can Urol Assoc J     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  E184-8     Citation Subset:  -    
Department of Urology, Keio University School of Medicine, Tokyo, Japan.
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