pericardial mesothelioma

Pericardial mesothelioma refers to mesothelioma arising primarily from the pericardium.

Epidemiology

They are rare and are only thought to account for ~0.7% of all malignant mesotheliomas. There is male to female predominance of approximately 3:1.

Clinical presentation

The presentation of pericardial mesothelioma is non-specific with complaints of dyspnea, chest pain, and weight loss.

Pathology

Macroscopic appearance

Pericardial mesothelioma can present as a localized or diffuse mass.

Associations

Some reports suggest an association with asbestos exposure but being not as strong as for pleural mesothelioma. Others state no association with asbestos exposure.

Treatment and prognosis

It is a lethal disease-carrying a very poor prognosis. Surgical resection can be option for symptomatic relief.

Complications

See also