Recurrence of Pericardial Mesothelioma Affecting the Myocardium After Pericardial Resection

Ann Thorac Surg. 2018 Nov;106(5):e243-e245. doi: 10.1016/j.athoracsur.2018.04.057. Epub 2018 May 22.

Abstract

Primary pericardial mesothelioma represents less than 1% of all malignant mesotheliomas. These tumors are very rare, difficult to diagnose, and have a poor response to established treatments. Common clinical presentations include constrictive symptoms, cardiac tamponade, and cardiac failure. Surgical resection can be curative in early stages and for localized tumors, and pericardiectomy and chemotherapy are often used as palliative approaches. We present the case of a 54-year-old woman who has so far survived 4 years after a primary resection of a pericardial mesothelioma and was referred with myocardial and aortopulmonary window recurrences for further treatment.

Publication types

  • Case Reports

MeSH terms

  • Biopsy, Needle
  • Female
  • Follow-Up Studies
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / pathology
  • Heart Neoplasms / surgery*
  • Humans
  • Immunohistochemistry
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / pathology*
  • Lung Neoplasms / surgery*
  • Magnetic Resonance Imaging, Cine / methods
  • Mesothelioma / diagnostic imaging
  • Mesothelioma / pathology*
  • Mesothelioma / surgery*
  • Middle Aged
  • Myocardium / pathology
  • Neoplasm Recurrence, Local / diagnostic imaging
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / surgery*
  • Pericardial Effusion / diagnostic imaging
  • Pericardial Effusion / pathology*
  • Pericardiectomy / methods
  • Pericardium / pathology
  • Pericardium / surgery*
  • Reoperation / methods
  • Risk Assessment
  • Thoracotomy / methods
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Supplementary concepts

  • Mesothelioma, Malignant