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Platinum sensitive carcinoma of ovary relapsed as pericardial effusion with cardiac tamponade
  1. Chinna Babu Dracham,
  2. Shipra Gupta,
  3. Chandan Krushna Das and
  4. Arun Elangovan
  1. Radiotherapy and Oncology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Arun Elangovan, arune195{at}


Epithelial ovarian cancers typically spread by intraperitoneal exfoliation and retroperitoneal lymph nodal involvement along the ovarian vascular supply. Pericardial involvement in ovarian malignancies is very rare with only few cases reported in the literature. Malignancy is the most common cause for pericardial effusion in the western world. In this case report, we present a 58-year-old woman treated for high-grade serous carcinoma of the ovary in 2010, relapsed with pericardial effusion and cardiac tamponade in 2017. Imaging studies revealed gross pericardial effusion. Two-dimensional echocardiogram showed massive pericardial effusion, with cardiac tamponade, New York Heart Association—IV. Pericardiocentesis and pigtail drain was placed under echo guidance. Immunocytochemistry has confirmed the tumour cells to be of the ovarian origin. The patient underwent surgical pericardial window via thoracotomy, followed by paclitaxel and carboplatin-based chemotherapy and olaparib maintenance.

  • gynecological cancer
  • chemotherapy
  • cancer - see oncology

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  • Contributors All the authors critically reviewed the manuscript for its content, contributed to the interpretation and presentation of the review and approved the final version of the same before submission.Specific contributions by the individual authors have been highlighted below: CBD: constructed the idea for case report; prepared the manuscript, organised and supervised the course of the article. SG: provided the radiological images regarding the same. CKD and Dr Vikas Kadiyala: responsible for the patient’s management, follow-up. AE: critically reviewed the article before submission not only for spelling and grammar but also for its intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.