title: Primary pericardial mesothelioma unique case and literature review.
abstract: A 72-year-old woman, on warfarin therapy and with a remote history of breast cancer and radiation treatment, presented with a 10-day history of nausea, dyspnea, dry cough, and dizziness. An electrocardiogram showed new-onset atrial fibrillation. Computed tomography of the chest revealed multiple pulmonary emboli and a pericardial effusion. Echocardiography showed a pericardial effusion with tamponade characteristics. The patient's condition deteriorated, and a pericardiectomy was performed. Histologic evaluation confirmed primary pericardial mesothelioma. She underwent palliative treatment and died 3 months after discharge from the hospital. We discuss the patient's case and the nature of primary pericardial mesothelioma, a rare oncologic entity.
authors: Department of Medicine, Division of Internal Medicine, Lankenau Medical Center, Wynnewood, Pennsylvania 19096, USA. msardar@montefiore.org
authors: Muhammad Rizwan
authors: MR
authors: Sardar
authors: Catherine
authors: C
authors: Kuntz
authors: Toralben
authors: T
authors: Patel
authors: Wajeeha
authors: W
authors: Saeed
authors: Eric
authors: E
authors: Gnall
authors: Shotaro
authors: S
authors: Imaizumi
authors: Leah
authors: L
authors: Lande
mesh_terms: D000368:Aged; D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D002305:Cardiac Tamponade / Q000209:etiology; D018619:Echocardiography, Doppler, Pulsed; D017809:Fatal Outcome; D005260:Female; D006338:Heart Neoplasms / Q000737:chemistry / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D008654:Mesothelioma / Q000737:chemistry / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016609:Neoplasms, Second Primary; D010166:Palliative Care; D010490:Pericardial Effusion / Q000209:etiology; D010492:Pericardiectomy; D010496:Pericardium / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D014408:Biomarkers, Tumor