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ID 118523
Author
Takashima, Mika National Hospital Organization Kochi Hospital|Tokushima University KAKEN Search Researchers
Kagawa, Kozo National Hospital Organization Kochi Hospital|Tokushima University Tokushima University Educator and Researcher Directory
Sawada, Toru National Hospital Organization Kochi Hospital
Hino, Hiroyuki National Hospital Organization Kochi Hospital
Naruse, Keishi National Hospital Organization Kochi Hospital
Takeuchi, Eiji National Hospital Organization Kochi Hospital
Sakiyama, Shoji National Hospital Organization Kochi Hospital KAKEN Search Researchers
Shinohara, Tsutomu National Hospital Organization Kochi Hospital|Tokushima University Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
Cardiac tamponade
Type A thymoma
Multidisciplinary treatment
Long-term survival
Content Type
Journal Article
Description
Background: The prognosis of thymoma with cardiac tamponade is generally poor. Most of the reported thymomas with cardiac tamponade were type B or type AB (mixed thymoma), and cardiac tamponade due to type A thymoma, which has a better prognosis compared to type B thymoma, is extremely rare.
Case presentation: We encountered a case of cardiac tamponade in a 71-year-old male. He visited our emergency department due to exacerbation of fatigue and dyspnea on exertion that lasted for two weeks. Chest imaging revealed a large amount of pericardial fluid and a contrast-enhanced tumor with calcification in the anterior mediastinum. The patient underwent thoracoscopic tumor biopsy and pathological examinations revealed type A thymoma. In this case, long-term disease-free survival (7.5 years) was achieved by multidisciplinary treatment (preoperative chemotherapy, surgical excision, and postoperative radiation therapy), in accordance with the histological type.
Conclusions: This case indicates that neoplastic cardiac tamponade, even in elderly patients, should not necessarily be regarded as a terminal cancer and requires a systematic investigation for underlying causes.
Journal Title
BMC Pulmonary Medicine
ISSN
14712466
NCID
AA12035438
Publisher
BioMed Central|Springer Nature
Volume
22
Start Page
242
Published Date
2022-06-22
Rights
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
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DOI (Published Version)
URL ( Publisher's Version )
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language
eng
TextVersion
Publisher
departments
University Hospital
Medical Sciences