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Cardiac tamponade as an initial presentation of papillary carcinoma with psammoma bodies and intranuclear grooves—A diagnostic dilemma
Author(s) -
Gochhait Debasis,
Sreerekha Jinkala,
Rangarajan Vidhyalakshmi,
Siddaraju Neelaiah,
Govindarajalou Ramkumar,
Penumadu Prasanth
Publication year - 2019
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.24215
Subject(s) - medicine , psammoma body , pathology , pericardial effusion , adenocarcinoma , pericardium , papillary adenocarcinoma , cardiac tamponade , pericardial fluid , thyroid carcinoma , metastasis , carcinoma , thyroid , radiology , cancer , immunohistochemistry
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.