Yeungnam Univ J Med.  1986 Dec;3(1):301-306. 10.12701/yujm.1986.3.1.301.

A Case Report of Primary Pericardial Malignant Epitheloid Mesothelioma

• Chung MH
• Hyun MS
• Kim YJ
• Shim BS
• Kim CS
• Lee DH
• Lee CJ
• Kang MS

• KMID: 2373895
• DOI: http://doi.org/10.12701/yujm.1986.3.1.301

Abstract

Primary pericardial mesothelioma is a rare tumor of mesodermal origin that is infrequently diagnosed antemortem and survival is short. A 60 year old male case of pericardial mesothelioma (epitheloid type) is reported. He was admitted to Yeungnam University Hospital because of chest pain, dyspnea, orthopnea and nonproductive cough. Chest x-ray suggested pericardial effusion. 2-D echocardiography showed echo free spaces of massive pericardial effusion and areas of thick hyperrefractile echoes arising from the pericardium. Pericardiocentesis was attempted and aspirated fluid was bloody exudates. Pericardial window operation with biopsy was done. Swan-Ganz catheterization showed equalization between right atrial pressure and pulmonary capillary wedge pressure. The pathologic diagnosis was established by histologic finding at pericardial biopsy.

MeSH Terms

Atrial Pressure
Biopsy
Catheterization, Swan-Ganz
Chest Pain
Cough
Diagnosis
Dyspnea
Echocardiography
Exudates and Transudates
Humans
Male
Mesoderm
Mesothelioma*
Pericardial Effusion
Pericardiocentesis
Pericardium
Pulmonary Wedge Pressure
Thorax