Signet Ring Cell Carcinoma Finding after Thoracentesis: When a Routine Procedure Reveals Something Else

Abstract

An 83-year-old male consulted the cardiologist for New York Heart Association functional classification functional class deterioration, anemia and chronic fatigue. He had a history of heart failure with preserved ejection fraction, Diabetes Mellitus, dyslipidemia, hyperuricemia, primary hypothyroidism, herpetiform dermatitis, alleged Sjögren’s syndrome, arterial hypertension, hypertensive heart disease, mitral sclerosis with mild regurgitation, ischemic cardiomyopathy (present unstable angina and past myocardial infarction), stent placement in the left anterior descending artery, transient ischemic attack and bilateral carotid disease treated by angioplasty and stenting.