IMR Press / EJGO / Volume 34 / Issue 3 / pii/1630906235264-852324864

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Left fallopian tube primitive serous adenocarcinoma presenting as a cardiac tamponade - a case report and review of literature
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1 Internal Medicine Department, Centro Hospitalar Tondela-Viseu, E.P.E., Viseu, Faculty of Health Sciences, University of Beira Interior, Covilha
2 Child and Women Health Department, Centro Hospitalar Cova da Beira, E.P.E., Covilha, Faculty of Health Sciences, University of Beira Interior, Covilha
3 Child and Women Health Department, Centro Hospitalar Cova da Beira, E.P.E., Faculty of Health Sciences, University of Beira Interior, Covilha
4 Intensive Care Unit, Centro Hospitalar Cova da Beira, E.P.E., Faculty of Health Sciences, University of Beira Interior, Covilha
5 Pathology Department, Centro Hospitalar Cova da Beira, E.P.E., Covilha (Portugal)
Eur. J. Gynaecol. Oncol. 2013, 34(3), 261–262;
Published: 10 June 2013
Abstract

A 61-year-old woman presented to the emergency room complaining of anterior left thoracic pain and shortness of breath even after minor efforts. Her previous medical history was unremarkable. Pulmonary angiographic tomography showed a moderate bilateral pleural effusion that had collapsed inferior lung lobes, a large pericardial effusion, and several enlarged lymph nodes in the anterior mediastinum. Echocardiogram (ECG) showed a considerable pericardial effusion with some degree of heart function impairment. Pericardiocentesis and thoracocentesis revealed neoplastic cells in both pericardial and pleural fluids. Abdominal and pelvic ultrasound showed a complex cystic mass with a 13-cm diameter located at left adnexal region and another complex cystic tumor with five-cm diameter at right adnexal region, with small amount of peritoneal effusion. Surgical staging was performed. Pathologic diagnosis was primitive left fallopian tube serous adenocarcinoma with peritubal involvement and multiple peritoneal and lymphatic metastases (FIGO Stage IV; TNM pT3c M1). Chemotherapy was initiated. Death occurred 25 months after diagnosis, with secondary dissemination (breast and lung). No recurrence of pericardial effusion was registered after chemotherapy, suggesting a high susceptibility of pericardial metastasis.
Keywords
Fallopian tube adenocarcinoma
Cardiac tamponade
Gynecological cancer
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