A Case of Malignant Pericardial Mesothelioma with Atypical CT and MR Imaging Pattern.
- Author:
Woo Jung CHUN
1
;
Yong Whan PARK
;
Ju Hyun OH
;
Seong A JANG
;
Pil Sang SONG
;
Dong Ryeol RYU
;
Gu Hyun KANG
Author Information
1. Division of Cardiology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. iyedam@gmail.com
- Publication Type:Case Report
- Keywords:
Heart neoplasms;
Mesothelioma;
Pericardial effusion
- MeSH:
Aged;
Dyspnea;
Echocardiography;
Heart Neoplasms;
Hemangiosarcoma;
Humans;
Magnetic Resonance Imaging;
Mesothelioma;
Pericardial Effusion;
Prognosis;
Thorax
- From:Korean Journal of Medicine
2011;80(Suppl 2):S161-S165
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary malignant pericardial mesothelioma is a very rare and highly aggressive tumor with a poor prognosis. Here, we present the case of a 71-year-old man with symptoms of chest discomfort and exertional dyspnea starting 1 week prior to admission. We identified a pericardial mass using transthoracic echocardiography, but could not diagnose the patient using other multimodal imaging approaches and effusion cytology. Findings on contrast cardiac computed tomography (CT) and magnetic resonance imaging (MRI) were more consistent with angiosarcoma than malignant mesothelioma. Ultimately, the patient was diagnosed with malignant pericardial mesothelioma, based on immunohistochemical staining of the tumor tissue. In recent years, several cases have reported the efficacy of chemotherapy in malignant mesothelioma. Thus, we suggest that accurate diagnosis of pericardial tumors with pathology may have a profound impact on the final prognosis.
