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Case Reports in Oncological Medicine
Volume 2013 (2013), Article ID 283601, 4 pages
http://dx.doi.org/10.1155/2013/283601
Case Report

Primary Pericardial Mesothelioma: A Rare Entity

1Department of Radiology, Norman Bethune College of Medicine, The Second Hospital of Jilin University, 218 Ziqiang Street, Nanguan District, Changchun, Jilin 130041, China
2Department of Pathology, Norman Bethune College of Medicine, The Second Hospital of Jilin University, 218 Ziqiang Street, Nanguan District, Changchun, Jilin 130041, China

Received 5 May 2013; Accepted 5 June 2013

Academic Editors: S. B. Chichareon and N. Yoshimura

Copyright © 2013 Mohit Godar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary pericardial malignant mesothelioma is an extremely rare neoplasm that arises from the pericardial mesothelial cell layers. Clinical symptoms and signs are frequently nonspecific, and the diagnosis is usually made after surgery or at autopsy. There is no standard treatment for pericardial mesothelioma; nonetheless, radical surgery is the mainstay of therapy for localized disease. The neoplasm is highly aggressive and carries a dismal prognosis with an overall survival of less than six months. This paper presents a case study of a 68-year-old patient with a primary pericardial malignant mesothelioma. Radiologic evaluation revealed a small nodule in the posterior pericardium with pericardial and bilateral pleural effusions. The diagnosis was established after surgery by histological and immunohistochemical studies. The patient remained alive and free of disease for about 24 months; however, due to rapid local recurrence, the patient died 27 months after the surgical treatment.