Metastatic urothelial carcinoma to pericardia manifested by dyspnea from cardiac tamponade during systemic chemotherapy: case report and literature review
DOI:
https://doi.org/10.5489/cuaj.23Abstract
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.
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