HISTORY: A 78-year-old @entity1 presented at our hospital with palpitation, @entity591 and progressive @entity1353 . The health history included the diagnosis of @entity6 and @entity1030 . INVESTIGATIONS: The ECG showed @entity955 , later changing with sinus rhythm and low voltage. The echocardiography revealed @entity2294 . The cytology showed signet ring cells from the stomach. Endoscopic study revealed a 3 cm @entity5 in the posterior wall of the upper part of the body. The histopathological examination diagnosed @entity5 of diffuse type according to Lauren, with signet-ring cells. TREATMENT AND CLINICAL COURSE: After treating the @entity955 a pericardial drainage was performed. The pericardiocentesis yielded 500 ml of serous fluid. In an echocardiogram after pericardial drainage, @entity2294 was no longer present. During the clinical course the @entity1 suffered a @entity64 and the chemotherapy could not be initiated. The @entity1 died 2 months after diagnosis. CONCLUSION: Cardiac involvement with clinical manifestations and @entity2294 may be associated with a @entity5 . Echocardiography and pericardiocentesis are helpful for the diagnosis of cardiac @entity3 .

[Symptomatic XXXX as initial manifestation of gastric signet ring cell carcinoma].

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes mellitus'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['dyspnea'] @entity2294 :: ('MESH:D010490', 'Disease') :: ['pericardial effusion'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'cancer', 'malignant neoplasm'] @entity591 :: ('MESH:D013610', 'Disease') :: ['tachycardia'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic obstructive pulmonary disease'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases']
@entity2294 :: (MESH:D010490,Disease) :: ['pericardial effusion']
