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Uncommon case of pericardial effusion

Andrea D'Amato, Costantino Mancusi, Maria Viviana Carlino, Veronica Lio, Federica De Pisapia, Alfonso Sforza, Giovanni de Simone
  • Andrea D'Amato
    Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy | damatoandrea@hotmail.com
  • Costantino Mancusi
    Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy
  • Maria Viviana Carlino
    Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy
  • Veronica Lio
    Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy
  • Federica De Pisapia
    Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy
  • Alfonso Sforza
    Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy
  • Giovanni de Simone
    Hypertension Research Center, Department of Translational Medical Science, Federico II University, Napoli, Italy

Abstract

We present the case of a 59-year-old patient with severe aortic stenosis, asymptomatic mild to moderate pericardial effusion and no major risk factors for poor prognosis. He underwent four-week course of non-steroidal anti-inflammatory drugs (ibuprofen 600 mg TID) with no improvement of the effusion. After complete diagnostic work-up and examination, we discovered that he had a prostate cancer with bone metastasis. On the bone scintigraphy, there was particular involvement of ribs and sternum. We decided to treat our patient with an association of docetaxel and hormone therapy, after six months we observed a reduction in the pericardial effusion. Even in the presence of a patient without risk factor of poor prognosis, pericardial effusion can be the first sign of occult neoplasia.

Keywords

Pericardial disease; cancer; inflammation; echocardiography.

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Submitted: 2016-09-14 15:08:55
Published: 2017-09-11 18:20:09
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Copyright (c) 2017 Andrea D’Amato, Costantino Mancusi, Maria Viviana Carlino, Veronica Lio, Federica De Pisapia, Alfonso Sforza, Giovanni de Simone

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