A smoker with cyanosis and hypotension
- Correspondence to Dr K Ramanathan,
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
Competing interests None.
Patient consent Obtained.