Pericardial effusion following radiation to the chest. Report of a case.

MONG THE VARIOUS CAUSES OF CHRONIC massive pericardial effusion, radiation injury has been cited on only one previous occasion.’ We have had the opportunity to observe a patient who developed such an effusion two years after massive radiation to the left anterior chest for carcinoma of the breast. Although the histologic appearance of the pericardium of our patient did not have the “elephant skin” quality as described in the case reported by Blumenfeld and Thomas,’ the clinical courses of the two cases are similar and we consider them both to be a result of radiation injury.

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