Pericarditis: differential diagnostic considerations

Agner, R. Christopher

doi:10.1001/archinte.139.4.407

Cited by 33 publications

(15 citation statements)

References 23 publications

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“…Metastatic involvement of the pericardium has been frequently found in autopsy series; however, visualization of metastatic deposits with any imaging method is unusual [24]. In addition, nonmalignant pericardial effusion is found at postmortem examination of as many as 6% of patients with cancer [22,25].…”

Section: Ct Of Pericardial Effusionmentioning

confidence: 99%

CT Findings in Patients With Pericardial Effusion: Differentiation of Malignant and Benign Disease

Sun

Park

Kang³

2010

American Journal of Roentgenology

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Section: Ct Of Pericardial Effusionmentioning

confidence: 99%

CT Findings in Patients With Pericardial Effusion: Differentiation of Malignant and Benign Disease

Sun

Park

Kang³

2010

American Journal of Roentgenology

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“…The differential diagnosis should also include idiopathic pericarditis, infection, hypothyroidism, and autoimmune disorders. 13 In this report we will not discuss the approach to establishing a specific diagnosis but will focus on the management of patients with a known diagnosis of malignant effusion and outline a treatment plan. The criteria for response vary among series; a direct comparison of the results of each therapeutic modality is not possible.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Malignancy Related Pericardial Effusion in a Tertiary Hospital

et al. 2017

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Back ground: Malignancy related pericardial effusion (PE) may represent a terminal event in patients with therapeutically unresponsive disease. Pericardial tamponade (PT) is a co morbid condition in many diagnosed malignant cases. Selection of patients with malignancies who are responsive to available treatment may achieve significant improvement in palliation. Early detection of pericardial tamponade and appropriate intervention (Pericardiocentesis) or Subxyphoid pericardiotomy may result long term survival benefit.Objective: Early detection and management of PE and tamponade in malignant cases.Methods: Color Doppler (C-D) echocardiography was done in 260 patients with underlying malignancies on chemo or radiotherapy from oncology department of Delta Medical college and hospital from May 2016 to December 2016. These cases were reviewed retrospectively for clinical features, diagnosis and therapy for their malignancy.Results: 81% have shortness of breath, sign of pulsus paradoxus and pericardial tamponade were found in 22% and 5% patients respectively. During echocardiography, pericardial effusion was found in 102 patients. 65% have mild pericardial effusion, whereas 27% have moderate and 8% have severe PE. Effusions with malignancy comprising of 40% adenocarcinomas of lung, 15% carcinoma (Ca) of pharynx, 10% Ca breast, 10% lymphoma, 10% is Carcinoma of unknown primary, 8% Ca esophagus and 7% others (Renal, Hepatic, ovary & cheek).University Heart Journal Vol. 12, No. 1, January 2016; 23-25

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“…Echocardiographic imaging is the mainstay of noninvasive diagnosis of MS in the heart and serves to guide further catheter-based invasive diagnostic modalities such as percutaneous pericardial biopsy. The latter is an essential part of the evaluation of patients with undiagnosed pericardial effusions and masses [29] and, as in the case of our patient, is often required to increase diagnostic yield [30]. Echocardiography allows dynamic evaluation of intracardiac masses with the advantage that both the anatomic extent and the physiologic consequences of the mass can be evaluated.…”

Section: Discussionmentioning

confidence: 99%

Atypical presentation of acute myeloid leukemia: cardiac myeloid sarcoma

et al. 2009

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We present the case of a 52-year-old man with a 2-month history of dyspnea, bilateral pleural effusion and cardiomegaly of rapid onset. A cardiac ultrasound showed pericardial effusion with infiltration of the infero-lateral cardiac wall, right auricle and aortic arch by a mass of unknown origin. Despite 1% blast cells in the peripheral blood, 2 bone marrow biopsies were negative for malignancy. Flow cytometry analysis of the blood and immunohistochemistry study of the pleural liquid showed a blast population of CD34+, CD33+, CD13+ and HLA-DR+ cells; a percutaneous cardiac biopsy showed CD34+ cells in the pericardium which led to the diagnosis of extramedullary acute myeloid leukemia (AML). The patient was treated with induction chemotherapy allowing remission, but unfortunately died of septic shock of fungal origin. This case illustrates a rare presentation of cardiac extramedullary AML.

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Pericarditis: differential diagnostic considerations

Cited by 33 publications

References 23 publications

CT Findings in Patients With Pericardial Effusion: Differentiation of Malignant and Benign Disease

CT Findings in Patients With Pericardial Effusion: Differentiation of Malignant and Benign Disease

Incidence of Malignancy Related Pericardial Effusion in a Tertiary Hospital

Atypical presentation of acute myeloid leukemia: cardiac myeloid sarcoma

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