ISSN: 1305-3876
Dil: Türkçe
Hakkında: Özel sayılar şeklinde yayınlanır.
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Malignant Pericardial Effusions
Dr. Celalettin CAMCIa
aTıbbi Onkoloji BD, Gaziantep Üniversitesi Tıp Fakültesi, GAZİANTEP
Malignant pericardial effusions demonstrate considerable variability with regard to both the quantity of fluid that accumulates and the pressure exerted on the pericardium and the cardiac chambers. The rate of accumulation and the distensibility of the pericardial sac determine the hemodynamic effect and the symptoms of these effusions. The onset of symptoms in patients with malignant pericardial effusion may be insidious. Indeed, many patients with large effusions are totally asymptomatic. Pericardial effusion may be suspected when the cardiac silhouette is enlarged on the chest radiograph. The diagnosis of pericardial effusion is usually confirmed by echocardiography. Pericardial effusion in patients with tumors that are unlikely to respond to treatment, either because of the cell type or because the tumor has become refractory to treatment, may require a local intervention. In patients who have a more favorable oncologic prognosis and are sufficiently strong to undergo general anesthesia and surgery, creation of a pleuropericardial window is often considered the procedure of choice. Otherwise, sclerosis may be considered following needle drainage.Keywords: Malignant, pericardial effusionTurkiye Klinikleri J Surg Med Sci 2006, 2(33):42-44
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