Pericardial effusion associated with malignacy has poor prognosis. The prompt identification of etiology is mandatory, such that timely management can be performed and survival can be increased. However, difficulty in etiology determination is commonly encountered. In this case, we report female patient with relapse stage IV breast cancer who develop massive pericardial and bilateral pleural effusion. The similar characteristics were found in both effusion fluids, however the identification of etiology was not similar. Metastatic cells were found in pleural effusion, whereas they were absent in pericardial effusion.
INTISARIEfusi perikard karena keganasan mempunyai prognosis yang buruk. Identifikasi segera dari etiologi merupakan hal yang utama, karena penatalaksanaan yang tepat waktu dapat dilakukan dan angka harapan hidup meningkat. Namun, kesulitan penentuan etiologi seringkali ditemukan. Pada kasus ini, dilaporkan seorang wanita dengan kanker payudara stadium IV kambuh yang mengalami efusi perikard masif dan efusi pleura bilateran. Kedua efusi mempunyai karakteristik yang mirip, namun identifikasi etiologi tidak menunjukkan kesamaan. Sel-sel metastase ditemukan pada efusi pleura, namun tidak dijumpai pada efusi perikard.
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