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A Case of Malignant Pericardial Effusion

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Stanley Medical College, Department of Medicine
Gesundheit & Medizin
1 von 45
Prof. Dr. Magesh kumar Unit M 1 unit Dr. Priya Kubendiran
Case History
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O/E : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],In left infra scapular,infra axillary , infra mammary region. And right infra scapular regions as compared to the rest of the lung areas.
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Problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Provisional diagnosis ,[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Radiography CXR AP VIEW
Cardiologist opinion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Serum levels Right Pleural Effusion Left Pleural Effusion Ascites Physical - Clear straw coloured Blood tinged Clear straw coloured Sugar – 100 mg% 81 96 101 Protein - 5.5 gm/dl 2.4 gm/dl 5.0 gm/dl 2.9 gm/dl Albumin – 3.5 gm --- --- 1.7 gm Grams stain AFB -- -- -- -- -- -- Cell count Few lymphocytes seen No atypical cells Few lymphocytes seen No atyical cells Acellular smear Impression Transudative Exudative Transudative
 
Investigations ……. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CRP – 57.14 mg/L TSH – 0.33 mic/dl Total T3 – 96 mic/dl Total T4 – 7.8 mic/dl ANA – negative RA – negative Pleural fluid ADA – 10 U/L Sputum AFB – neg Mantoux - neg
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Course in ward ,[object Object],[object Object],[object Object],[object Object]
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Operative notes summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intraop photograph
 
 
POST OP CXR
Postop CT Scan Chest
 
 
 
POST OP DIAGNOSIS ,[object Object]
Biopsy report ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
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FINAL DIAGNOSIS ,[object Object],[object Object],[object Object]
Further Course…. ,[object Object],[object Object],[object Object]
 
A 53-year-old woman complained of cough and dyspnea for months before consultation. The chest X-rays and computed tomography revealed a well-defined mass in the left middle mediastinum with necrotic changes and calcification within it. The patient underwent left thoracotomy with tumor resection, and a final diagnosis of primary mediastinal hemangiopericytoma was made.
 
HEMANGIOPERICYTOMA ,[object Object],[object Object],[object Object],[object Object]
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A Case of Malignant Pericardial Effusion

  • 1. Prof. Dr. Magesh kumar Unit M 1 unit Dr. Priya Kubendiran
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  • 13. Radiography CXR AP VIEW
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  • 15. Serum levels Right Pleural Effusion Left Pleural Effusion Ascites Physical - Clear straw coloured Blood tinged Clear straw coloured Sugar – 100 mg% 81 96 101 Protein - 5.5 gm/dl 2.4 gm/dl 5.0 gm/dl 2.9 gm/dl Albumin – 3.5 gm --- --- 1.7 gm Grams stain AFB -- -- -- -- -- -- Cell count Few lymphocytes seen No atypical cells Few lymphocytes seen No atyical cells Acellular smear Impression Transudative Exudative Transudative
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  • 25. POST OP CXR
  • 26. Postop CT Scan Chest
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  • 38. A 53-year-old woman complained of cough and dyspnea for months before consultation. The chest X-rays and computed tomography revealed a well-defined mass in the left middle mediastinum with necrotic changes and calcification within it. The patient underwent left thoracotomy with tumor resection, and a final diagnosis of primary mediastinal hemangiopericytoma was made.
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