A Case Report of Pericardial Mesothelioma Misdiagnosed as Tuberculous Pericarditis
10.12376/j.issn.2097-0501.2023.01.014
- VernacularTitle:心包间皮瘤误诊为结核性心包炎一例
- Author:
Yang ZHANG
1
;
Hexi ZHANG
1
;
Yan YAN
1
Author Information
1. Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China.National Clinical Research Center for Interventional Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
- Publication Type:Journal Article
- Keywords:
tuberculosis;
mesothelioma;
constrictive pericarditis
- From:
JOURNAL OF RARE DISEASES
2023;2(1):105-109
- CountryChina
- Language:Chinese
-
Abstract:
A 40-year-old male patient presented with an unexplained pericardial effusion and was treated with antituberculosis therapy. This patient showed a transient improvement, but then progressively worsened to develop constrictive pericarditis, multiple plasma chamber effusions, and venous thrombosis. The patient was transferred to Zhongshan Hospital, Fudan University. Through a pleural histopathological biopsy, this patient was diagnosed with pleural mesothelioma and secondary malignant tumor of the pericardium. Later, clinical the manifestations of patient progressed rapidly, resulting in the death of the patient. Mesothelioma is a very rare group of malignant tumors originating from the pleura and other tissues. Patients are mostly advanced at the time of initial diagnosis, with limited treatments and short median survival. It is important to strengthen the understanding of mesothelioma, pay attention to all medical and technical examinations, especially dynamic follow-up of changes in the disease for early diagnosis of this disease.
