Pericardial Metastasis Induced Tamponade from Urothelial Carcinoma: A Rare Entity.

Case Rep Med

Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Avenue, Perth Amboy, NJ 07733, USA.

Published: May 2016

AI Article Synopsis

  • Urothelial carcinoma, a type of bladder cancer, can occasionally spread to the heart, leading to a rare condition known as cardiac tamponade, which has only been documented in four cases.
  • There have been a total of fifteen recorded cases of cardiac metastasis from urothelial carcinoma, highlighting its unusual occurrence and potential severity.
  • Early detection and monitoring of cardiac symptoms through echocardiogram imaging are crucial, particularly for patients like a 71-year-old man with a history of this cancer who developed new atrial fibrillation and was later diagnosed with cardiac tamponade due to metastasis.

Article Abstract

Urothelial carcinoma in a few cases may result in cardiac metastasis. A rare presentation of this condition is its diagnosis as a result of cardiac tamponade. Tamponade is an unusual entity as a result of urothelial carcinoma and has only been reported in four cases. There have also been only a total of fifteen cases of cardiac metastasis from this form of malignancy. It is through this discussion that we emphasize the importance of early detection and monitoring of cardiac symptoms with the implementation of echocardiogram imaging. Although not feasible in all patients it may be considered in those presenting with cardiac and pulmonary symptoms. In this case we discuss the presentation of a 71-year-old gentleman with a history of urothelial carcinoma after cystectomy and while on chemotherapy presented with new onset atrial fibrillation and later was diagnosed with cardiac tamponade as a result of malignant metastasis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842364PMC
http://dx.doi.org/10.1155/2016/6162732DOI Listing

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