A Case of Malignant Pericardial Effusion

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Stanley Medical College, Department of Medicine

Saúde e medicina

Prof. Dr. Magesh kumar Unit M 1 unit Dr. Priya Kubendiran

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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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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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A Case of Malignant Pericardial Effusion

1. Prof. Dr. Magesh kumar Unit M 1 unit Dr. Priya Kubendiran

2. Case History

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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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22. Intraop photograph

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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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A Case of Malignant Pericardial Effusion

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