Neoplastic pericardial disease. Analysis of 26 patients

To characterize patients with neoplastic pericardial disease diagnosed by clinical presentation, complementary test findings, and the histological type of tumor. Twenty-six patients with neoplastic pericardial disease were retrospectively analyzed. Clinical manifestations and abnormalities in chest...

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Bibliographic Details
Published in:Arquivos brasileiros de cardiologia 1999-01, Vol.72 (1), p.51-58
Main Authors: Soufen, H N, Fernandes, F, Ianni, B M, Arteaga, E, Gutierrez, P S, Pego-Fernandes, P, Mady, C
Format: Article
Language:eng ; por
Subjects:
Adult
Aged
Biopsy
Female
Heart Neoplasms - complications
Heart Neoplasms - diagnosis
Heart Neoplasms - pathology
Humans
Male
Middle Aged
Neoplasm Metastasis
Pericardial Effusion - etiology
Pericardium - pathology
Retrospective Studies
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Summary:To characterize patients with neoplastic pericardial disease diagnosed by clinical presentation, complementary test findings, and the histological type of tumor. Twenty-six patients with neoplastic pericardial disease were retrospectively analyzed. Clinical manifestations and abnormalities in chest roentgenograms and electrocardiograms were frequent, but were not specific. Most patients underwent surgery. There was a high positivity of the pericardial biopsy when associated with the cytological analysis of the pericardial liquid used to determine the histological type of the tumor, particularly when the procedure was performed with the aid of pericardioscopy. The correct diagnosis of neoplastic pericardial disease involves suspicious but nonspecific findings during clinical examination and in screen tests. The suspicious findings must be confirmed through more invasive diagnostic approaches, in particular pericardioscopy with biopsy and cytological study.
ISSN:0066-782X