CASE REPORT OF PRIMARY ADENOCARCINOMA OF LUNG PRESENTING AS CARDIAC TAMPONADE IN 35 YEAR OLD NON SMOKING FEMALE

Lung cancer is often the most diagnosed carcinoma and leading cause of cancer related death worldwide. In India lung carcinoma makes 5.9% of all cancer and accounts for 8.9% of deaths.[1] This is a case report of a non smoker female who presented to emergency with cardiac tamponade with no presiding symptoms turned out to be a secondary cardiac tamponade with primary lung carcinoma. The etiology of pericardial involvement in cancer may be complicated. Secondary pericardial effusion occurs more frequently than primary pericardial effusion does. Any cancer can affect the pericardium, and typical secondary tumors that invade the pericardium include lung cancer, breast cancer, and lymphoma or leukemia.[2,3] Furthermore, it is a sign of poor outcomes with fewer than 5 months of survival. Nevertheless, PErF with or without tamponade as a presentation of lung cancer is uncommon. Rarely, pericardial effusions may progress to life-threatening cardiac tamponade due to fixed intrapericardial pressure, impaired diastolic filling and ultimately, decreased cardiac output.