Primary Pericardial Mesothelioma, Which Was Veiled by a Pleural Empyema: A Case Report and Review

Tajjiou, Morad; Wild, Wolfgang; Sayed, Nasir; Flauaus, Alexander; Divo, Markus; Schwarzbach, Matthias

doi:10.1155/2019/2896810

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…Echocardiography is often the first-line of cardiac imaging; however, transthoracic echocardiographic findings are often limited to nonspecific pericardial thickening or pericardial fluid 50. While transesophageal echocardiogram has increased sensitivity, inherent limitations in the modality preclude adequate evaluation of structures distant from the transducer, such as the diaphragm, lung parenchyma, and mediastinum 41,53. For these reasons, echocardiography alone is rarely sufficient for evaluation; however, it can be helpful in guiding pericardiocentesis.…”

Section: Malignant Pericardial Mesotheliomamentioning

confidence: 99%

“…MPM survival is dismal, ranging between 6 weeks and 15 months, with an average between 3 and 10 months. [39][40][41] However, unlike MPM, the causal relationship between asbestos exposure and malignant pericardial mesothelioma is not well established. A literature review published in 2008 evaluating 29 cases between 1993 and 2008 found that only 3 of the 14 cases had known asbestos exposure.…”

Section: Clinicalmentioning

confidence: 99%

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Imaging of Malignant Pleural, Pericardial, and Peritoneal Mesothelioma

Strange¹,

Marom

Ahuja³

et al. 2022

Advances in Anatomic Pathology

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Malignant mesothelioma is a rare tumor arising from the mesothelial cells that line the pleura, pericardium, peritoneum, and tunica vaginalis. Imaging plays a primary role in the diagnosis, staging, and management of malignant mesothelioma. Multimodality imaging, including radiography, computed tomography (CT), magnetic resonance imaging (MRI), and F-18 fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT), is used in a variety of scenarios, including diagnosis, guidance for tissue sampling, staging, and reassessment of disease after therapy. CT is the primary imaging modality used in staging. MRI has superior contrast resolution compared with CT and can add value in terms of determining surgical resectability in equivocal cases. MRI can further assess the degree of local invasion, particularly into the mediastinum, chest wall, and diaphragm, for malignant pleural and pericardial mesotheliomas. FDG PET/CT plays a role in the diagnosis and staging of malignant pleural mesothelioma (MPM) and has been shown to be more accurate than CT, MRI, and PET alone in the staging of malignant pleural mesothelioma. PET/CT can also be used to target lesions for biopsy and to assess prognosis, treatment response, and tumor recurrence.

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Section: Malignant Pericardial Mesotheliomamentioning

confidence: 99%

Section: Clinicalmentioning

confidence: 99%

Imaging of Malignant Pleural, Pericardial, and Peritoneal Mesothelioma

Strange¹,

Marom

Ahuja³

et al. 2022

Advances in Anatomic Pathology

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“…(Fig 4) Primary pericardial mesothelioma is a highly malignant tumor that has unfavorable prognosis, and is extremely rare, even among heart tumors, with an incidence of <0.002% and accounting for less than 5% of all mesotheliomas. [1] Patients often show nonspecific but typical symptoms like constrictive pericarditis, cardiac tamponade, and heart failure. [2] From the limited literature, up to 75 percent of cases were diagnosed postmortem [3] and cytologic analysis of pericardial fluid were often negative [4].…”

Section: Timely Diagnosis Of Primary Pericardial Mesotheliomamentioning

confidence: 99%

Timely diagnosis of primary pericardial mesothelioma

Chen

Chang

Hsiung

et al. 2020

Preprint

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We present a case of a 66-year-old male with dyspnea and bilateral lower-extremity edema. Pericardiotomy and biopsy were performed and reported malignant mesothelioma. Primary pericardial mesothelioma is a highly malignant tumor that has unfavorable prognosis, and is extremely rare, even among heart tumors. In our case, despite the large amount of pericardial effusion of the first echocardiography, the infiltrated like pericardium was still detected. In addition, cytology after pericardiocentesis reported suspicion of malignancy, which followed by pericardiotomy and biopsy, lead to our timely diagnosis.

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“…Patients often show nonspecific but typical clinical features such as constrictive pericarditis, cardiac tamponade, and heart failure. From the limited literature, up to 75 percent of cases were diagnosed postmortem 3 and cytologic analysis of pericardial fluid was often negative 4 . Echocardiography is the most commonly used investigative tool but is low in the identification of pericardial mesotheliomas.…”

Section: Figurementioning

confidence: 99%