Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell Carcinoma

Some solid cancers (such as lung, breast, and esophageal cancer, and melanoma) can lead to pericardial effusion by metastatic spread, potentially provoking hemodynamic instability. Detection by echocardiography is therefore essential. Pericardiocentesis can help restore cardiac function and provide...

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Detalles Bibliográficos
Autores: Calzada, MT, Boira, I, Chiner, E, Esteban, V, Sancho, JN
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p12123
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/12123
Access Level:acceso abierto
Palabra clave:pleural effusion
tamponade
pericardial effusion
clear cell carcinoma
pericardiocentesis
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spelling Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell CarcinomaCalzada, MTBoira, IChiner, EEsteban, VSancho, JNpleural effusiontamponadepericardial effusionclear cell carcinomapericardiocentesisSome solid cancers (such as lung, breast, and esophageal cancer, and melanoma) can lead to pericardial effusion by metastatic spread, potentially provoking hemodynamic instability. Detection by echocardiography is therefore essential. Pericardiocentesis can help restore cardiac function and provide fluid for establishing an etiology through cytological, microbiological, and cellularity analysis. A 60-year-old woman with metabolic syndrome and obesity hypoventilation syndrome presented to the emergency department with dyspnea at rest. A chest X-ray showed cardiomegaly and massive left pleural effusion. Ultrasound findings were pericardial effusion with signs of cardiac tamponade. We performed pericardiocentesis, extracting 1000 mL of exudate, and thoracentesis, which confirmed the diagnosis of lymphocytic exudative effusion. A CAT (computerized tomography) scan of the chest, abdomen, and pelvis revealed a left kidney mass. A biopsy of the mass confirmed the diagnosis of clear cell renal cell carcinoma and a pleural biopsy revealed metastatic involvement. This report describes a rare presentation of cardiac tamponade due to clear cell renal cell carcinoma and discusses the pathogenesis, mechanisms, and prognosis of this condition.SPRINGERNATURE2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/12123Cureus Journal of Medical ScienceISSN: 21688184reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p121232026-06-11T12:45:17Z
dc.title.none.fl_str_mv Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell Carcinoma
title Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell Carcinoma
spellingShingle Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell Carcinoma
Calzada, MT
pleural effusion
tamponade
pericardial effusion
clear cell carcinoma
pericardiocentesis
title_short Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell Carcinoma
title_full Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell Carcinoma
title_fullStr Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell Carcinoma
title_full_unstemmed Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell Carcinoma
title_sort Cardiac Tamponade as a Manifestation of Clear Cell Renal Cell Carcinoma
dc.creator.none.fl_str_mv Calzada, MT
Boira, I
Chiner, E
Esteban, V
Sancho, JN
author Calzada, MT
author_facet Calzada, MT
Boira, I
Chiner, E
Esteban, V
Sancho, JN
author_role author
author2 Boira, I
Chiner, E
Esteban, V
Sancho, JN
author2_role author
author
author
author
dc.subject.none.fl_str_mv pleural effusion
tamponade
pericardial effusion
clear cell carcinoma
pericardiocentesis
topic pleural effusion
tamponade
pericardial effusion
clear cell carcinoma
pericardiocentesis
description Some solid cancers (such as lung, breast, and esophageal cancer, and melanoma) can lead to pericardial effusion by metastatic spread, potentially provoking hemodynamic instability. Detection by echocardiography is therefore essential. Pericardiocentesis can help restore cardiac function and provide fluid for establishing an etiology through cytological, microbiological, and cellularity analysis. A 60-year-old woman with metabolic syndrome and obesity hypoventilation syndrome presented to the emergency department with dyspnea at rest. A chest X-ray showed cardiomegaly and massive left pleural effusion. Ultrasound findings were pericardial effusion with signs of cardiac tamponade. We performed pericardiocentesis, extracting 1000 mL of exudate, and thoracentesis, which confirmed the diagnosis of lymphocytic exudative effusion. A CAT (computerized tomography) scan of the chest, abdomen, and pelvis revealed a left kidney mass. A biopsy of the mass confirmed the diagnosis of clear cell renal cell carcinoma and a pleural biopsy revealed metastatic involvement. This report describes a rare presentation of cardiac tamponade due to clear cell renal cell carcinoma and discusses the pathogenesis, mechanisms, and prognosis of this condition.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/12123
url https://fisabio.portalinvestigacion.com/publicaciones/12123
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SPRINGERNATURE
publisher.none.fl_str_mv SPRINGERNATURE
dc.source.none.fl_str_mv Cureus Journal of Medical Science
ISSN: 21688184
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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