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Cardiac
Diagnosis
Pericardial
Pericardial Mesothelioma
Pericardial Mesothelioma
Seth Kligerman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Primary pericardial mesothelioma
            • Malignant pericardial mesothelioma

          • Definitions

            • Primary pericardial mesothelioma is tumor arising from mesothelial cells of pericardium
              • Note: Pericardium is more commonly affected by metastatic mesothelioma with primary location within pleura

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Echocardiographic Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          Selected References

                                          1. Journal of Clinical Oncology: Treatment and outcomes of primary pericardial mesothelioma: a systematic review. http://ascopubs.org/doi/abs/10.1200/JCO.2017.35.15_suppl.e20027. Reviewed March 4, 2019. Accessed March 4, 2019
                                          2. Yamamoto T et al: Primary pericardial mesothelioma presenting as constrictive pericarditis. Eur Heart J Cardiovasc Imaging. ePub, 2019
                                          3. Rodríguez M et al: Recurrence of pericardial mesothelioma affecting the myocardium after pericardial resection. Ann Thorac Surg. 106(5):e243-5, 2018
                                          4. Mezei G et al: Epidemiology of mesothelioma of the pericardium and tunica vaginalis testis. Ann Epidemiol. 27(5):348-59.e11, 2017
                                          5. Muta H et al: Primary malignant pericardial sarcomatoid mesothelioma: an autopsy report. Pathol Int. 67(6):311-5, 2017
                                          6. Burke AP Pericardial mesothelioma: In Burke AP et al: General Thoracic Pathology: Diseases of the Lung, Heart, and Thymus. Baltimore: Wolters Kluwer. 864-865, 2016
                                          7. Istomin V et al: Pericardial effusion due to primary malignant pericardial mesothelioma: a common finding but an uncommon cause. Case Rep Med. 2016:4810901, 2016
                                          8. Saisho C et al: Sarcomatoid type primary pericardial mesothelioma with a long-term survival after the onset of cardiac tamponade. Intern Med. 55(21):3161-4, 2016
                                          9. Fernandes R et al: A rare cause of heart failure with preserved ejection fraction: primary pericardial mesothelioma masquerading as pericardial constriction. BMJ Case Rep. 2014, 2014
                                          10. Ramachandran R et al: A rare case of primary malignant pericardial mesothelioma. J Clin Imaging Sci. 4:47, 2014
                                          11. Bezerra SG et al: Pericardial synovial sarcoma: case report and literature review. Arq Bras Cardiol. 101(6):e103-6, 2013
                                          12. Godar M et al: Primary pericardial mesothelioma: a rare entity. Case Rep Oncol Med. 2013:283601, 2013
                                          13. Kayatta MO et al: Primary pericardial mesothelioma in a 19-year-old presenting as pericarditis. Ann Thorac Surg. 96(2):680-1, 2013
                                          14. Makarawate P et al: Malignant mesothelioma of the pericardium: a report of two different presentations. Case Rep Oncol Med. 2013:356901, 2013
                                          15. Restrepo CS et al: Primary pericardial tumors. Radiographics. 33(6):1613-30, 2013
                                          16. Tateishi K et al: Primary malignant sarcomatoid mesothelioma in the pericardium. Intern Med. 52(2):249-53, 2013
                                          17. Wang JG et al: Primary cardiac synovial sarcoma. Ann Thorac Surg. 95(6):2202-9, 2013
                                          18. Sardar MR et al: Primary pericardial mesothelioma unique case and literature review. Tex Heart Inst J. 39(2):261-4, 2012
                                          19. Sharma PS et al: Primary malignant pericardial mesothelioma presenting as effusive-constrictive pericarditis. J Invasive Cardiol. 23(8):E197-9, 2011
                                          20. Butz T et al: Primary malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case report. J Med Case Rep. 3:9256, 2009
                                          21. Fujimoto N et al: Malignant pericardial mesothelioma with response to chemotherapy. J Thorac Oncol. 4(11):1440-1, 2009
                                          22. Lingamfelter DC et al: Fatal hemopericardial tamponade due to primary pericardial mesothelioma: a case report. Diagn Pathol. 4:44, 2009
                                          23. Kainuma S et al: Primary malignant pericardial mesothelioma presenting as pericardial constriction. Ann Thorac Cardiovasc Surg. 14(6):396-8, 2008
                                          24. Santos C et al: Primary pericardial mesothelioma. Lung Cancer. 60(2):291-3, 2008
                                          25. Restrepo CS et al: Imaging findings in cardiac tamponade with emphasis on CT. Radiographics. 27(6):1595-610, 2007
                                          26. Val-Bernal JF et al: Incidental localized (solitary) epithelial mesothelioma of the pericardium: case report and literature review. Cardiovasc Pathol. 11(3):181-5, 2002
                                          27. Coplan NL et al: Pericardial mesothelioma masquerading as a benign pericardial effusion. J Am Coll Cardiol. 4(6):1307-10, 1984
                                          28. Yilling FP et al: Pericardial mesothelioma. Chest. 81(4):520-3, 1982
                                          29. BARBOUR BH et al: Nontraumatic hemopericardium. An analysis of 105 cases. Am J Cardiol. 7:102-8, 1961
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Primary pericardial mesothelioma
                                                    • Malignant pericardial mesothelioma

                                                  • Definitions

                                                    • Primary pericardial mesothelioma is tumor arising from mesothelial cells of pericardium
                                                      • Note: Pericardium is more commonly affected by metastatic mesothelioma with primary location within pleura

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Echocardiographic Findings

                                                            • Nuclear Medicine Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  Selected References

                                                                                  1. Journal of Clinical Oncology: Treatment and outcomes of primary pericardial mesothelioma: a systematic review. http://ascopubs.org/doi/abs/10.1200/JCO.2017.35.15_suppl.e20027. Reviewed March 4, 2019. Accessed March 4, 2019
                                                                                  2. Yamamoto T et al: Primary pericardial mesothelioma presenting as constrictive pericarditis. Eur Heart J Cardiovasc Imaging. ePub, 2019
                                                                                  3. Rodríguez M et al: Recurrence of pericardial mesothelioma affecting the myocardium after pericardial resection. Ann Thorac Surg. 106(5):e243-5, 2018
                                                                                  4. Mezei G et al: Epidemiology of mesothelioma of the pericardium and tunica vaginalis testis. Ann Epidemiol. 27(5):348-59.e11, 2017
                                                                                  5. Muta H et al: Primary malignant pericardial sarcomatoid mesothelioma: an autopsy report. Pathol Int. 67(6):311-5, 2017
                                                                                  6. Burke AP Pericardial mesothelioma: In Burke AP et al: General Thoracic Pathology: Diseases of the Lung, Heart, and Thymus. Baltimore: Wolters Kluwer. 864-865, 2016
                                                                                  7. Istomin V et al: Pericardial effusion due to primary malignant pericardial mesothelioma: a common finding but an uncommon cause. Case Rep Med. 2016:4810901, 2016
                                                                                  8. Saisho C et al: Sarcomatoid type primary pericardial mesothelioma with a long-term survival after the onset of cardiac tamponade. Intern Med. 55(21):3161-4, 2016
                                                                                  9. Fernandes R et al: A rare cause of heart failure with preserved ejection fraction: primary pericardial mesothelioma masquerading as pericardial constriction. BMJ Case Rep. 2014, 2014
                                                                                  10. Ramachandran R et al: A rare case of primary malignant pericardial mesothelioma. J Clin Imaging Sci. 4:47, 2014
                                                                                  11. Bezerra SG et al: Pericardial synovial sarcoma: case report and literature review. Arq Bras Cardiol. 101(6):e103-6, 2013
                                                                                  12. Godar M et al: Primary pericardial mesothelioma: a rare entity. Case Rep Oncol Med. 2013:283601, 2013
                                                                                  13. Kayatta MO et al: Primary pericardial mesothelioma in a 19-year-old presenting as pericarditis. Ann Thorac Surg. 96(2):680-1, 2013
                                                                                  14. Makarawate P et al: Malignant mesothelioma of the pericardium: a report of two different presentations. Case Rep Oncol Med. 2013:356901, 2013
                                                                                  15. Restrepo CS et al: Primary pericardial tumors. Radiographics. 33(6):1613-30, 2013
                                                                                  16. Tateishi K et al: Primary malignant sarcomatoid mesothelioma in the pericardium. Intern Med. 52(2):249-53, 2013
                                                                                  17. Wang JG et al: Primary cardiac synovial sarcoma. Ann Thorac Surg. 95(6):2202-9, 2013
                                                                                  18. Sardar MR et al: Primary pericardial mesothelioma unique case and literature review. Tex Heart Inst J. 39(2):261-4, 2012
                                                                                  19. Sharma PS et al: Primary malignant pericardial mesothelioma presenting as effusive-constrictive pericarditis. J Invasive Cardiol. 23(8):E197-9, 2011
                                                                                  20. Butz T et al: Primary malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case report. J Med Case Rep. 3:9256, 2009
                                                                                  21. Fujimoto N et al: Malignant pericardial mesothelioma with response to chemotherapy. J Thorac Oncol. 4(11):1440-1, 2009
                                                                                  22. Lingamfelter DC et al: Fatal hemopericardial tamponade due to primary pericardial mesothelioma: a case report. Diagn Pathol. 4:44, 2009
                                                                                  23. Kainuma S et al: Primary malignant pericardial mesothelioma presenting as pericardial constriction. Ann Thorac Cardiovasc Surg. 14(6):396-8, 2008
                                                                                  24. Santos C et al: Primary pericardial mesothelioma. Lung Cancer. 60(2):291-3, 2008
                                                                                  25. Restrepo CS et al: Imaging findings in cardiac tamponade with emphasis on CT. Radiographics. 27(6):1595-610, 2007
                                                                                  26. Val-Bernal JF et al: Incidental localized (solitary) epithelial mesothelioma of the pericardium: case report and literature review. Cardiovasc Pathol. 11(3):181-5, 2002
                                                                                  27. Coplan NL et al: Pericardial mesothelioma masquerading as a benign pericardial effusion. J Am Coll Cardiol. 4(6):1307-10, 1984
                                                                                  28. Yilling FP et al: Pericardial mesothelioma. Chest. 81(4):520-3, 1982
                                                                                  29. BARBOUR BH et al: Nontraumatic hemopericardium. An analysis of 105 cases. Am J Cardiol. 7:102-8, 1961