Cardiac tamponade as an initial presentation of papillary carcinoma with psammoma bodies and intranuclear grooves—A diagnostic dilemma. Issue 9 (23rd May 2019)

• Record Type: Journal Article
• Authors: Gochhait, Debasis; Sreerekha, Jinkala; Rangarajan, Vidhyalakshmi; Siddaraju, Neelaiah; Govindarajalou, Ramkumar; Penumadu, Prasanth
• Is Part Of: Diagnostic cytopathology. Volume 47:Issue 9(2019)
• Page Start: 927
• Page End: 929
• Publication Date: 2019-05-23
• Subjects: cytopathology -- papillary carcinoma lung -- pericardial effusion -- Psammoma bodies; Cytodiagnosis -- Periodicals; Pathology, Cellular -- Periodicals; Cytology -- Periodicals; 616.07582
• DOI: 10.1002/dc.24215
• Languages: English
• ISSNs: 8755-1039

Abstract

Abstract: Involvement of body fluids by adenocarcinoma is a common phenomenon. However, metastasis to the pericardial fluid by adenocarcinoma is a rare occurrence. The most common malignancies associated with malignant pericardial effusion are carcinoma of the lung, breast, esophagus, melanoma, lymphoma, and leukemia. Here, we discuss a case of a 36‐year‐old female with hemorrhagic pericardial effusion presenting with cardiac tamponade and psammoma bodies which was suspected and reported as metastatic papillary carcinoma of thyroid on cytomorphology; however, the immunocytochemical and radiological features confirmed metastatic papillary adenocarcinoma of lung contrary to the thyroid which is more common and expected.