Metastatic urothelial carcinoma to pericardia manifested by dyspnea from cardiac tamponade during systemic chemotherapy

Case report and literature review

Seiya Hattori, Akira Miyajima, Takahiro Maeda, Toshikazu Takeda, Shinya Morita, Takeo Kosaka, Eiji Kikuchi, Mototsugu Oya

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

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.

Original languageEnglish
JournalJournal of the Canadian Urological Association
Volume6
Issue number5
DOIs
Publication statusPublished - 2012 Oct

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Cardiac Tamponade
Pericardium
Dyspnea
Neoplasm Metastasis
Carcinoma
Drug Therapy
Cytodiagnosis
Kidney Pelvis
Pericardial Effusion
Hematuria
Neoplasms
Tomography
Kidney
Pain
Therapeutics

ASJC Scopus subject areas

  • Oncology
  • Urology

Cite this

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abstract = "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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AU - Hattori, Seiya

AU - Miyajima, Akira

AU - Maeda, Takahiro

AU - Takeda, Toshikazu

AU - Morita, Shinya

AU - Kosaka, Takeo

AU - Kikuchi, Eiji

AU - Oya, Mototsugu

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