Primary malignant pericardial mesothelioma presenting with cardiac tamponade

Matsuyama, Shigefumi; Imazuru, Tomohiro; Uchiyama, Masateru; Ota, Hiroo; Iida, Mitsuru; Shimokawa, Tomoki

doi:10.1016/j.ijscr.2020.07.054

Cited by 5 publications

(4 citation statements)

References 10 publications

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Section: Discussionmentioning

confidence: 99%

“…Pericardial malignant mesotheliomas are relatively rare malignant cardiac tumors, which are often associated with excessive pericardial effusion or tamponade ( Figure 5I1,5I2 ) ( 32 , 33 ). The disease has a poor prognosis, and patients have a short life expectancy ( 33 ). In our study, 1 patient with malignant pericardial mesothelioma survived for 52 months after undergoing a partial resection of the tumor body combined with radiotherapy and chemotherapy.…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis and survival analyses of patients with space-occupying cardiac lesions: a 10-year retrospective single-center study

Liu¹,

Fang²,

Cheng³

et al. 2022

Quant Imaging Med Surg

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Background: Space-occupying cardiac lesions are uncommon but fatal. Echocardiography can identify diseases quickly in the clinic. This study reviews the clinical data of patients with space-occupying cardiac lesions in the past 10 years and analyzes their echocardiographic features, pathological diagnosis, and prognosis.Methods: We performed a retrospective analysis of 412 patients admitted to Affiliated Drum Tower

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Diagnosis and survival analyses of patients with space-occupying cardiac lesions: a 10-year retrospective single-center study

Liu¹,

Fang²,

Cheng³

et al. 2022

Quant Imaging Med Surg

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“…Surgery is the most important treatment. The operation includes pericardiectomy and pericardial window placement [Matsuyama 2020]. It is mostly useful for preventing cardiac tamponade or reducing tumor.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Primary Malignant Pericardial Mesothelioma Diagnosed with Pericardiotomy

Cui¹,

Hu²,

Li³

2022

HSF

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Primary malignant pericardial mesothelioma (PMPM) is an extremely rare and lethal cardiac tumor. This article presents a 62-year-old man with recurrent pericardial fluid. The patient’s clinical symptoms and imaging features were nonspecific. Initial diagnosis was constrictive pericarditis. After admission, the patient’s symptoms worsened, and echocardiography indicated increased pericardial effusion. To diagnose and improve the patient’s symptoms, pericardiotomy was performed; however, the procedure was unsuccessful because the pericardium was densely adherent to the myocardium. Histopathological examination, including immunohistochemical staining of the pericardial specimen revealed malignant mesothelioma. We recommended adjuvant therapy for the patient with cis-platinum and pemetrexed; however, the patient and his family refused treatment. The patient was discharged 11 days after surgery. The patient survived for more than 15 months with surgical treatment. In this report, the patient’s symptoms improved, and the patient survived beyond the median survival after surgical treatment. Conclusion: The definitive diagnosis of PMPM mostly has been obtained from specimens obtained by surgery. Surgery is an effective treatment method because it prevents cardiac tamponade and can improve symptoms or prognosis, but complete resection is impossible.

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“…Primary malignant pericardial mesothelioma (PPM) is a malignant heart tumor originating in the serous pericardium and is highly invasive 1,2 . Through the collection of clinical data from a patient with PPM and literature review, the clinical manifestations, diagnostic methods, treatment and prognosis, pathological results and immunohistochemical characteristics of PPM are further discussed to expand the understanding of the disease and improve its diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Primary pericardial malignant mesothelioma: A case report and literature review

Chen

Gong

Liu

2022

Preprint

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Background : Primary pericardial malignant mesothelioma is a highly malignant and rare tumor. We present a case of primary pericardial malignant mesothelioma in an adult male patient and review the relevant literature to extend the understanding of the disease. Methods: The patient underwent pericardial decortication through the cardiopulmonary bypass, which effectively relieved the clinical symptoms caused by the tumor blockage. Results:Postoperative pathological diagnosis and immunohistochemistry resulted in primary pericardial malignant mesothelioma. The patient recovered after surgery and was followed up regularly after discharge. Conclusions: Primary pericardial malignant mesothelioma lacks characteristic clinical and imaging manifestations, invariably resulting in misdiagnosis. Pathological results combined with immunohistochemistry are the gold standard for diagnosis. Surgery is the mainstay of treatment, but the prognosis is extremely poor.

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Primary malignant pericardial mesothelioma presenting with cardiac tamponade

Cited by 5 publications

References 10 publications

Diagnosis and survival analyses of patients with space-occupying cardiac lesions: a 10-year retrospective single-center study

Diagnosis and survival analyses of patients with space-occupying cardiac lesions: a 10-year retrospective single-center study

A Rare Case of Primary Malignant Pericardial Mesothelioma Diagnosed with Pericardiotomy

Primary pericardial malignant mesothelioma: A case report and literature review

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