Adrenocortical Carcinoma with a Giant Pericardial Mass

A patient with a history of adrenocortical carcinoma presented with massive pericardial effusion and a giant pericardial mass. Death resulted from cardiac tamponade. At autopsy a large necrotic mass was histologically similar to the original adrenocortical carcinoma. We present this case and review the literature on metastatic pericardial disease.(Internal Medicine: 32: 438-440, 1993)