Cardiac tamponade as an initial presentation of papillary carcinoma with psammoma bodies and intranuclear grooves – a diagnostic dilemma
Gochhait D, Sreerekha J, Rangarajan V, Siddaraju N, Govindarajalou R, Penumadu P. Diagn Cytopathol 2019 May 23. doi: 10.1002/dc.24215 (Epub ahead of print).
Involvement of body fluids by adenocarcinoma is a common phenomenon; however, metastasis to the pericardial fluid by adenocarcinoma is a rare occurrence. The most common malignancies associated with malignant pericardial effusion are carcinoma of the lung, breast, oesophagus, melanoma, lymphoma and leukaemia.
Here, the authors discuss a case of a 36-year-old female with haemorrhagic pericardial effusion presenting with cardiac tamponade and psammoma bodies, which was suspected and reported as metastatic papillary carcinoma of thyroid on cytomorphology. The immunocytochemical and radiological features, however, confirmed metastati