Primary malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case reportReport as inadecuate




Primary malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case report - Download this document for free, or read online. Document in PDF available to download.

Journal of Medical Case Reports

, 3:9256

First Online: 17 September 2009Received: 20 December 2008Accepted: 13 March 2009DOI: 10.1186-1752-1947-0003-0000009256

Cite this article as: Butz, T., Faber, L., Langer, C. et al. J Med Case Reports 2009 3: 9256. doi:10.1186-1752-1947-0003-0000009256

Abstract

IntroductionPrimary malignant pericardial mesothelioma is a very rare pericardial tumor of unknown etiology.

Case presentationA 61-year-old Caucasian woman was admitted to our hospital complaining of exertional dyspnea due to a large pericardial effusion. Intrapericardial fluid volume declined after repeated pericardiocentesis, but the patient progressively developed a hemodynamically relevant pericardial constriction. Pericardiectomy revealed a pericardial mesothelioma. Subsequently, four cycles of chemotherapy dosage according to recently published trials were administered. The patient remained asymptomatic, and there was no recurrence of the tumor after three years.

ConclusionPericardial mesothelioma should be considered and managed appropriately in non-responders to pericardiocentesis, and in patients who develop constrictive pericarditis late in their clinical course.

AbbreviationsCTcomputer tomography

FDG2-fluoro-2-deoxy-d-glucose

FDG-PETF-18 fluorodeoxyglucose positron emission tomography

MRImagnetic resonance imaging

PMPMprimary malignant pericardial mesothelioma.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-0003-0000009256 contains supplementary material, which is available to authorized users.

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Author: Thomas Butz - Lothar Faber - Christoph Langer - Jan Körfer - Oliver Lindner - Andrea Tannapfel - Klaus-Michael Müller - A

Source: https://link.springer.com/



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