Multi-loculated Pericardial Mesothelioma: A case report.
- Author:
Hong Seok YANG
1
;
Jung Joo HWANG
;
Hyun Cheol JOO
;
Mi Kyeong LEE
;
Hyo Chae PAIK
;
Sang Ho CHO
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Respiratory Center, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. hcpaik@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Pericardium;
Pericardial effusion;
Mesothelioma
- MeSH:
Biopsy, Needle;
Chest Pain;
Cough;
Diagnosis, Differential;
Dyspnea;
Early Diagnosis;
Female;
Humans;
Incidence;
Mesothelioma*;
Middle Aged;
Needles;
Pericardial Effusion;
Pericarditis, Constrictive;
Pericardium;
Prognosis;
Shoulder;
Thoracotomy;
Tomography, X-Ray Computed
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2005;38(5):392-395
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary pericardial mesothelioma is extremely rare and the incidence is low among the mesotheliomas that originate from other parts of the body. The prognosis of the tumor is unfavorable due to its late presentation, difficulties in early diagnosis and complete resection, and the limited treatment options. Herein, we report a case of pericardial mesothelioma. The patient is a 55-year-old woman who presented with chronic cough and dyspnea. During the examination, pericardial effusion was found and pericardial window formation was followed. She visited our hospital because of persistent dyspnea, with right shoulder and chest pain. Four discrete masses were discovered in the chest CT. CT guided-fine needle aspiration biopsy was negative for malignancy. Right exploratory thoracotomy and partial resection of 3x3 cm mass abutting pericardium was performed and was histologically diagnosed as malignant mesothelioma, biphasic type. Pericardial mesothelioma is rare, but it should be remembered as an important differential diagnosis in patients with persistent pericardial effusion and symptoms of dyspnea and constrictive pericarditis.
