Characteristics of neoplastic cardiac tamponade and prognosis after pericardiocentesis: a single-center study of 113 consecutive cancer patients

Verfasser / Beitragende:
[Tsugumi Takayama, Yuji Okura, Yoshinobu Okada, Keiichi Honma, Atsushi Nashimoto, Nobuaki Sato, Akira Yokoyama, Tohru Minamino]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/5(2015-10-01), 872-877
Format:
Artikel (online)
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245 0 0 |a Characteristics of neoplastic cardiac tamponade and prognosis after pericardiocentesis: a single-center study of 113 consecutive cancer patients  |h [Elektronische Daten]  |c [Tsugumi Takayama, Yuji Okura, Yoshinobu Okada, Keiichi Honma, Atsushi Nashimoto, Nobuaki Sato, Akira Yokoyama, Tohru Minamino] 
520 3 |a Background: Neoplastic cardiac tamponade (NCT) is a life-threatening complication of cancer. The interval between cancer diagnosis and NCT onset and the prognosis after pericardiocentesis may differ according to cancer type. Methods and results: We performed a retrospective study of 113 patients (54% male) with NCT who underwent pericardiocentesis at Niigata Cancer Center Hospital between 1992 and 2013. Mean age at NCT was 61.2years (range 15.9-94.8years). The most common underlying cancers were lung cancer (59.2%), breast cancer (21.2%), lymphoma/leukemia (5.3%), and gastric/esophageal cancer (5.3%). The median time from cancer diagnosis to NCT onset was 9.0, 60.4, 5.6, and 8.0months for lung cancer, breast cancer, lymphoma/leukemia, and gastric/esophageal cancer, respectively. Kaplan-Meier survival estimates were worse for breast cancer patients with NCT than for matched breast cancer patients without NCT (P<0.0001). Median survival time after pericardiocentesis was 2.9, 4.2, 2.3, and 0.6months for lung cancer, breast cancer, lymphoma/leukemia, and gastric/esophageal cancer, respectively; one-year survival after pericardiocentesis was 6.0, 16.7, 33.3, and 0%, respectively. Conclusions: The interval between cancer diagnosis and NCT onset, the impact of NCT on prognosis, and the prognosis after pericardiocentesis differed according to cancer type. Healthcare practitioners caring for patients with NCT should recognize the differences between cancer types and customize their care accordingly. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a Neoplastic cardiac tamponade  |2 nationallicence 
690 7 |a Pericardiocentesis  |2 nationallicence 
690 7 |a Prognosis  |2 nationallicence 
700 1 |a Takayama  |D Tsugumi  |u Department of Cardiology, Niigata Cancer Center Hospital, Chu-o-ku Kawagishicho 2-15-3, 951-8560, Niigata, Japan  |4 aut 
700 1 |a Okura  |D Yuji  |u Department of Cardiology, Niigata Cancer Center Hospital, Chu-o-ku Kawagishicho 2-15-3, 951-8560, Niigata, Japan  |4 aut 
700 1 |a Okada  |D Yoshinobu  |u Department of Internal Medicine, Kamo Hospital, Niigata, Japan  |4 aut 
700 1 |a Honma  |D Keiichi  |u Department of Pathology, Niigata Cancer Center Hospital, Niigata, Japan  |4 aut 
700 1 |a Nashimoto  |D Atsushi  |u Department of Digestive Surgery, Niigata Cancer Center Hospital, Niigata, Japan  |4 aut 
700 1 |a Sato  |D Nobuaki  |u Department of Breast Surgery, Niigata Cancer Center Hospital, Niigata, Japan  |4 aut 
700 1 |a Yokoyama  |D Akira  |u Department of Respiratory Medicine, Niigata Cancer Center Hospital, Niigata, Japan  |4 aut 
700 1 |a Minamino  |D Tohru  |u Department of Cardiovascular Biology and Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 872-877  |x 1341-9625  |q 20:5<872  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-015-0794-7  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-015-0794-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takayama  |D Tsugumi  |u Department of Cardiology, Niigata Cancer Center Hospital, Chu-o-ku Kawagishicho 2-15-3, 951-8560, Niigata, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Okura  |D Yuji  |u Department of Cardiology, Niigata Cancer Center Hospital, Chu-o-ku Kawagishicho 2-15-3, 951-8560, Niigata, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Okada  |D Yoshinobu  |u Department of Internal Medicine, Kamo Hospital, Niigata, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Honma  |D Keiichi  |u Department of Pathology, Niigata Cancer Center Hospital, Niigata, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nashimoto  |D Atsushi  |u Department of Digestive Surgery, Niigata Cancer Center Hospital, Niigata, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sato  |D Nobuaki  |u Department of Breast Surgery, Niigata Cancer Center Hospital, Niigata, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yokoyama  |D Akira  |u Department of Respiratory Medicine, Niigata Cancer Center Hospital, Niigata, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Minamino  |D Tohru  |u Department of Cardiovascular Biology and Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 872-877  |x 1341-9625  |q 20:5<872  |1 2015  |2 20  |o 10147