Cardiac Tamponade as an Initial Manifestation of Cervical Cancer
Cervical cancer is the second most common malignancy worldwide in women and the third most common cause of cancer death in developing countries. This type of cancer spreads mainly to the lung, the bone, and the brain; however, the pericardium is an unusual site of invasion, which is associated with...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/7524797 |
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| author | Yuridia Evangelina Rodríguez-Rosales Carlos Eduardo Salazar-Mejía Blanca Angélica Soto-Martínez David Hernández-Barajas Oscar Vidal-Gutiérrez Gabriela Sofia Gómez-Macías |
| author_facet | Yuridia Evangelina Rodríguez-Rosales Carlos Eduardo Salazar-Mejía Blanca Angélica Soto-Martínez David Hernández-Barajas Oscar Vidal-Gutiérrez Gabriela Sofia Gómez-Macías |
| author_sort | Yuridia Evangelina Rodríguez-Rosales |
| collection | DOAJ |
| description | Cervical cancer is the second most common malignancy worldwide in women and the third most common cause of cancer death in developing countries. This type of cancer spreads mainly to the lung, the bone, and the brain; however, the pericardium is an unusual site of invasion, which is associated with a poor prognosis. We present a case of a 35-year-old woman with six months of leg edema and abnormal uterine bleeding. During the initial evaluation, cardiac tamponade and a bilateral pleural effusion were found. A left supraclavicular lymphadenopathy was identified on physical examination, while gynecological examination and MRI were irrelevant. Initial cytology of the pericardial fluid showed a poorly differentiated carcinoma, and a cervical biopsy revealed a squamous cell invasive carcinoma. Chemotherapy was started with carboplatin and paclitaxel, but no clinical improvement was noted and the patient died 46 days after arrival. Cardiac tamponade in a young female patient is a harbinger to widen the differential diagnosis to include not only infectious, cardiac, or metabolic etiology but also oncological causes since this will allow appropriate treatment. |
| format | Article |
| id | doaj-art-1c7b615fa39d4fdba238d79827cd7b58 |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-1c7b615fa39d4fdba238d79827cd7b582025-02-03T01:23:57ZengWileyCase Reports in Oncological Medicine2090-67062090-67142019-01-01201910.1155/2019/75247977524797Cardiac Tamponade as an Initial Manifestation of Cervical CancerYuridia Evangelina Rodríguez-Rosales0Carlos Eduardo Salazar-Mejía1Blanca Angélica Soto-Martínez2David Hernández-Barajas3Oscar Vidal-Gutiérrez4Gabriela Sofia Gómez-Macías5Universidad Autónoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Department of Internal Medicine, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon, C.P. 64460, MexicoUniversidad Autónoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Centro Universitario Contra el Cáncer, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon, C.P. 64460, MexicoUniversidad Autónoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Centro Universitario Contra el Cáncer, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon, C.P. 64460, MexicoUniversidad Autónoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Centro Universitario Contra el Cáncer, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon, C.P. 64460, MexicoUniversidad Autónoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Centro Universitario Contra el Cáncer, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon, C.P. 64460, MexicoUniversidad Autónoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. José Eleuterio González”, Department of Pathology, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon, C.P. 64460, MexicoCervical cancer is the second most common malignancy worldwide in women and the third most common cause of cancer death in developing countries. This type of cancer spreads mainly to the lung, the bone, and the brain; however, the pericardium is an unusual site of invasion, which is associated with a poor prognosis. We present a case of a 35-year-old woman with six months of leg edema and abnormal uterine bleeding. During the initial evaluation, cardiac tamponade and a bilateral pleural effusion were found. A left supraclavicular lymphadenopathy was identified on physical examination, while gynecological examination and MRI were irrelevant. Initial cytology of the pericardial fluid showed a poorly differentiated carcinoma, and a cervical biopsy revealed a squamous cell invasive carcinoma. Chemotherapy was started with carboplatin and paclitaxel, but no clinical improvement was noted and the patient died 46 days after arrival. Cardiac tamponade in a young female patient is a harbinger to widen the differential diagnosis to include not only infectious, cardiac, or metabolic etiology but also oncological causes since this will allow appropriate treatment.http://dx.doi.org/10.1155/2019/7524797 |
| spellingShingle | Yuridia Evangelina Rodríguez-Rosales Carlos Eduardo Salazar-Mejía Blanca Angélica Soto-Martínez David Hernández-Barajas Oscar Vidal-Gutiérrez Gabriela Sofia Gómez-Macías Cardiac Tamponade as an Initial Manifestation of Cervical Cancer Case Reports in Oncological Medicine |
| title | Cardiac Tamponade as an Initial Manifestation of Cervical Cancer |
| title_full | Cardiac Tamponade as an Initial Manifestation of Cervical Cancer |
| title_fullStr | Cardiac Tamponade as an Initial Manifestation of Cervical Cancer |
| title_full_unstemmed | Cardiac Tamponade as an Initial Manifestation of Cervical Cancer |
| title_short | Cardiac Tamponade as an Initial Manifestation of Cervical Cancer |
| title_sort | cardiac tamponade as an initial manifestation of cervical cancer |
| url | http://dx.doi.org/10.1155/2019/7524797 |
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