Founded in 1993
  Year: 2005 | Volume: 13 | Issue: 3-4 | Pages: 150-152
  Case Report
  PRIMARY PERICARDIAL MESOTHELIOMA PRESENTING AS CONSTRICTIVE PERICARDITIS
Karadzic R, Kostic-Banovic L, Antovic A, Celar M, Katic V, Ilic G, Stojanovic J.
  DOI: 10.2298/AOO0503150K
  Abstract:
  Primary pericardial mesothelioma is an extremely rare and lethal cardiac tumor. We report an autopsy case of a primary pericardial mesothelioma in a 52-year-old man. He developed dyspnea, cough, lowgrade fever and night sweats approximately 3 months before last admission. Initially, he was evaluated at a hospital in another city, without a firm diagnosis. Due to progressive symptoms and the development of lower-extremity edema, he presented at our hospital in September 2005. The physical examination at admission demonstrated signs of pericardial tamponade. Chest radiography revealed marked enlargement of the cardiac silhouette. Specimens of bloody pericardial fluid were positive for pericardial mesothelioma by cytologic examination. The general condition of the patient worsened very rapidly and he was transferred to the intensive care unit where he later died. Postmortem examination confirmed primary pericardial mesothelioma of the mixed/biphasic type with lymphatic metastasis in the right lung. By using immunohistochemical analysis for specific markers of mesothelioma and for differentiation of the mesothelioma from the lung adenocarcinoma, definitive diagnosis was established: primary pericdial mesothelioma.
  Key words: Pericardium; Mesothelioma; Pericarditis, Constrictive; Diagnosis; Autopsy; Immunohistochemistry; Cytology
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Founder, owner and publisher: Oncology Institute of Vojvodina, Serbia
Online since 1997 (Abstracts only); 2000 (Abstracts and Full text)
ISSN: 0354-7310 eISSN: 1450-9520