Case Report

Cardiac Tamponade as an Initial Manifestation of Cervical Cancer

Table 1

Reported cases of cervical cancer with pericardial effusion and cardiac tamponade.

Author (year)Age at initial presentation (years)Time from diagnosis to pericardial effusionFIGO clinical stage (initial)Previous treatmentPresence of cardiac tamponadeTreatment after diagnosis of pericardial effusionOverall survival

Charles et al. (1997) [15]4624 monthsIIIBRT, hysterectomy+BSOYesPericardial window, CT, doxorubicin8 months
Rieke and Kapp (1988) [5]4923 monthsIIAHysterectomy+BSO, RTNoPericardiocentesis, RT9 months
Rudoff et al. (1989) [16]2721 monthsIIIBRTYesPericardiocentesis, anterior pericardiectomy, cisplatinumNot reported
Nelson and Rose (1993) [9]515 daysIVNoneYesPericardiocentesis/CT cisplatin+RT4 months
613 monthsIIIBRTYesPericardiocentesis, instillation of tetracycline, CT cisplatin, bleomycin, methotrexate alternating with cisplatin and 5FU12 months
Kountz et al. (1993) [17]2810 monthsIIBRT/CTNo/mass in right ventricleNot specified3 months
Jamshed et al. (1996) [6]5732 monthsIBHysterectomy, RTYesPericardiocentesis, pericardial window, RT5 months
Lemus et al. (1998) [10]5324 monthsIBRT, hysterectomy+BSO+superior vaginectomyNo/interventricular septum massRT1 month
4912 monthsIVBRTNo/mass in right ventricleCT 5FU+cisplatin7 months
Senzaki et al. (1999) [18]2816 monthsā€‰Hysterectomy, RT/CTNo/mass in right ventriclePericardiocentesis+intrapericardial cisplatinum1 month
Kim et al. (2008) [19]646 monthsIBCT carboplatin+paclitaxel+concurrent RT pre- and posthysterectomyNo/right atrium mass5-fluorouracil+cisplatin+RT12 months
Kim et al. (2011) [1]526 monthsIVB3 cycles of 5FU, cisplatin+concurrent RTYesPericardiocentesis1 month
Azria et al. (2011) [20]54Initial presentation (cervical adenocarcinoma)IVBNoneYesPericardiocentesis, pericardial window, carboplatin+paclitaxel33 days
Ore et al. (2013) [21]5th decade9 monthsIVBRT, CT topotecan+cisplatinYesPericardiocentesis, pericardial window26 days
Kalra et al. (2014) [2]566 monthsIIIBCarboplatin+paclitaxel+RTYesCT not specified+RTNot reported
Ramegowda et al. (2015) [11]5023 monthsIIIBRT, brachytherapyYesNo treatment4 months
Tsuchida et al. (2016) [22]7815 monthsIIIBRTNo/mass in right ventricleNo treatment1 month

FIGO: International Federation of Gynecology and Obstetrics; CT: chemotherapy; RT: radiotherapy; BSO: bilateral salpingo-oophorectomy; 5FU: 5-fluorouracil.