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BMJ Case Rep. 2010; 2010: bcr0120102694.
Published online 2010 November 19. doi:  10.1136/bcr.01.2010.2694
PMCID: PMC3027309
Unusual association of diseases/symptoms

A smoker with cyanosis and hypotension


Involvement of the pericardium and pericardial effusion at postmortem is common in advanced malignant disease. However, cardiac tamponade presenting as the first manifestation of malignancy is uncommon. We present the case of a patient who presented with malignant pericardial effusion who had advanced lung cancer with metastasis and paraneoplastic features

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