Endobronchial ultrasound-guided transbronchial needle aspiration in a patient with pericardial mesothelioma.
Pericardial mesothelioma is a very rare pericardial tumor. Diagnosing pericardial disease can be challenging, and obtaining an antemortem diagnosis of pericardial mesothelioma is particularly difficult. We herein report the case of a 60-year-old man with pericardial mesothelioma diagnosed on endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Chest computed tomography showed a mass surrounding the pericardium, and EBUS-TBNA of the right inferior paratracheal and subcarinal stations was consequently performed. No uptake was noted on (18)F-fluorodeoxy glucose positron emission tomography, other than in the pericardial mass. The results of histological and immunohistochemical examinations indicated the features of malignant mesothelioma. We therefore diagnosed the patient with pericardial mesothelioma, which was subsequently confirmed at autopsy.
Department of Thoracic Disease, Chiba Cancer Center, Japan.
Hironori
H
Ashinuma
Masato
M
Shingyoji
Yasushi
Y
Yoshida
Meiji
M
Itakura
Fumihiro
F
Ishibashi
Hajime
H
Tamura
Yasumitsu
Y
Moriya
Makiko
M
Itami
Koichiro
K
Tatsumi
Toshihiko
T
Iizasa
D044963:Biopsy, Fine-Needle / Q000379:methods; D001999:Bronchoscopy; D017809:Fatal Outcome; D006801:Humans; D061705:Image-Guided Biopsy / Q000379:methods*; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D008297:Male; D008654:Mesothelioma / Q000000981:diagnostic imaging* / Q000473:pathology*; D000086002:Mesothelioma, Malignant; D008875:Middle Aged; D010496:Pericardium / Q000000981:diagnostic imaging* / Q000473:pathology*; D049268:Positron-Emission Tomography; D014463:Ultrasonography