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Korean Circ J. 2011 Dec;41(12):750-753. English. Case Report.
Kim SM , Park SJ , Park JR , Choi JH , Yang JH , Noh HJ , Jo HC , Choi SH , Choe YH , Park SW .
Cardiovascular Center, Chungbuk National University Hospital, Cheongju, Korea.
Cardiovascular Imaging Center, Cardiac and Vascular Center, Samsung Medical Center, Seoul, Korea.
Department of Cardiology, Gyeongsang National University Hospital, Jinju, Korea.
Jeju Hanmaum Hospital, Jeju, Korea.
Department of Radiology, Center of Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Tuberculosis generally affects the respiratory tract. In developing nations, the pericardium is the most common location of extrapulmonary tuberculosis; however, tuberculous pericarditis rarely appears as a localized mass or tuberculoma. We present here a case of a 62-year-old woman with pericardial tuberculoma. She had a history of effusive tuberculous pericarditis and drainage. Because she had taken regular medication over a period of six months, the pericardial mass with an adjacent lung nodule newly detected on the chest radiogram was initially suspected of being invasive lung cancer. Prior to pathologic confirmation, precise information from imaging tests, including computed tomography, magnetic resonance imaging, and positron emission tomography-computed tomography are helpful when making decisions regarding which methods should be used for surgical approach and treatment. Through imaging, our case showed typical features of pericardial tuberculoma and a favorable clinical course after two months with a change in antituberculous therapy.

Copyright © 2019. Korean Association of Medical Journal Editors.