支气管肺癌是肺部常见的原发性恶性肿瘤,但转移到心脏或心包上较少见。本例系一腺癌转移到心包,产生大量心包积液,误认为结核性心包炎,经治无效。后行穿刺检查在积液里找到腺癌细胞。腺癌的转移率是相当高的,发现转移到心包最高的检出率为Later氏的报道高达35％,说明本病发病率并不少,只是临床能及时确诊的较少。 Bronchial lung cancer is a common primary malignancy in the lung, but it is less common in the heart or pericardium. In this case, an adenocarcinoma metastasized to the pericardium, resulting in a large amount of pericardial effusion, which was mistaken for tuberculous pericarditis and was ineffective. Posterior puncture examination found adenocarcinoma cells in the effusion. The metastatic rate of adenocarcinoma is quite high. The highest rate of detection of the transfer to the pericardium was reported as up to 35% of the Later’s, indicating that the incidence of this disease is not limited, but only clinically diagnosed in less time.