primäres Mesotheliom des Perikards
Primary
pericardial mesothelioma. Enlargement of the cardiac silhouette with a watter bottle configuration, suggesting pericardial effusion.
Primary
pericardial mesothelioma. Contrast-enhanced axial CT demonstrating the presence of a hypodense pericardial mass, with heterogeneous enhancement, that encases the great vessels.
Primary
pericardial mesothelioma. Axial CT image shows pericardial mass associated with cardiophrenic lymph nodes. Small bilateral pleural effusion was also present.
Primary
pericardial mesothelioma. Coronal reformatted contrast-enhanced CT showing the extent of the pericardial mass. A liver cyst is also present.
Primary
pericardial mesothelioma. Coronal reformatted CT image demonstrating multiple enlarged lymph nodes. Liver cyst.
Primary
malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case report. Transthoracic echocardiography (apical 4-chamber view) demonstrating a large pericardial effusion and a thickened pericardium of the free wall of the right ventricle (see SD1 and SD2).
Primary
malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case report. Magnetic resonance imaging (4-chamber view, turbo field echo [TFE]) confirmed the extended pericardial effusion without signs of cardiac tamponade, and a slightly thickened pericardium (see SD3 and SD4).
Primary
malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case report. F-18 fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) scan demonstrating an intrapericardial accumulation of the tracer (Siemens ECAT HR+).
Successful
palliation for an aged patient with primary pericardial mesothelioma. Findings from chest computed tomography. A chest computed tomography (CT) revealed massive pericardial effusion and bilateral pleural effusions on admission (a). A chest CT after 8 months clearly showed pleural plaques (b yellow arrow heads). A chest CT revealed that the pleural effusion was well-controlled for 8 months (c) and 16 months (d) after the initial treatment. The maximum thicknesses of the cavity in which the pericardial effusion accumulated in Fig. 1a, c, and d were 34.8, 3.3, and 12.6 mm, respectively
Malignant
primary pericardial mesothelioma presenting as effusive constrictive pericarditis: a case report study. Initial chest radiography of the patient. Chest radiography showing widened mediastinum, cardiomegaly, and left pleural effusion
Malignant
primary pericardial mesothelioma presenting as effusive constrictive pericarditis: a case report study. Echocardiography demonstrating Thickened pericardium and effusion in parasternal long-axis view (A, B), Exaggerated respiratory variation at the level of Mitral Valve (C), Annulus Reversus (D, E), normal IVC (20 mm) with reduced respiratory variation (F)
Malignant
primary pericardial mesothelioma presenting as effusive constrictive pericarditis: a case report study. Two reconstructed coronal computed tomography images (A, a) and thin section axial computed tomography images (B, b) revealed some large enhancing nodes in the left anterior mediastinum (arrows), and nodular thickening of the pericardium (double arrows) with irregularity and enhancement associated with effusion compressing heart chambers
Pericardial
sarcomatoid mesothelioma with right atrial involvement: Cardiac MRI findings. CMRI axial SSFP sequence demonstrates a mass inseparable from the right atrial free wall, attached to the overlying pericardium with infiltration of the right atrial lateral wall "arrow". Marked pericardial fluid is noted (*).
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
Siehe auch:
- Pericarditis constrictiva
- Mesotheliom
- pericardial tumors
- primäre kardiale Tumoren
- pericardiales sarkomatoides Mesotheliom
und weiter:
Assoziationen und Differentialdiagnosen zu primäres Mesotheliom des Perikards:
