RESUMO
Symptoms such as cough and hemoptysis in patients with lung cancer can be the consequence of local bronchopulmonary disease, tumor growth that leads to compression of surrounding structures, distant metastases, diverse systemic effects (anorexia, asthenia, weight loss), or paraneoplastic syndromes associated with tumor production of certain hormones. Approximately 10% of patients are asymptomatic at diagnosis. We report the case of a 77-year-old man with dyspnea, pleuritic chest pain, and lower limb edema. The patient died within a few days. The cause of the clinical picture was constrictive pericarditis secondary to metastases from lung carcinoma.
Assuntos
Neoplasias Cardíacas/secundário , Neoplasias Pulmonares/diagnóstico , Pericardite Constritiva/diagnóstico , Idoso , Diagnóstico Diferencial , Diagnóstico Precoce , Evolução Fatal , Neoplasias Cardíacas/diagnóstico , Humanos , Neoplasias Pulmonares/patologia , Masculino , Segunda Neoplasia Primária/diagnóstico , Pericardite Constritiva/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
Los síntomas que presentan los pacientes con cáncer de pulmón pueden ser la consecuencia de una enfermedad broncopulmonar local (tos, hemoptisis, etc.), deberse a la extensión del tumor hacia las estructuras circundantes, a metástasis a distancia, a efectos sistémicos inespecíficos (anorexia, astenia, pérdida de peso) o a síndromes paraneoplásicos secundarios a la producción de determinadas hormonas por el tumor. En torno al 10% de los pacientes se encuentran asintomáticos en el momento del diagnóstico. Presentamos el caso de un paciente varón de 77 años de edad, que presentaba disnea, dolor torácico de tipo pleurítico y edemas en los miembros inferiores. Su evolución fue fatal, falleciendo al cabo de pocos días. La causa de la clínica era la existencia de pericarditis constrictiva secundaria a metástasis de carcinoma pulmonar
Symptoms such as cough and hemoptysis in patients with lung cancer can be the consequence of local bronchopulmonary disease, tumor growth that leads to compression of surrounding structures, distant metastases, diverse systemic effects (anorexia, asthenia, weight loss), or paraneoplastic syndromes associated with tumor production of certain hormones. Approximately 10% of patients are asymptomatic at diagnosis. We report the case of a 77-year-old man with dyspnea, pleuritic chest pain, and lower limb edema. The patient died within a few days. The cause of the clinical picture was constrictive pericarditis secondary to metastases from lung carcinoma
