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Ann Thorac Surg. 2018 Nov;106(5):e243-e245. doi: 10.1016/j.athoracsur.2018.04.057. Epub 2018 May 22.

Recurrence of Pericardial Mesothelioma Affecting the Myocardium After Pericardial Resection.

Author information

1
Division of Thoracic Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts. Electronic address: mery.rodriguez.perez@gmail.com.
2
Division of Thoracic Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
3
Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts.

Abstract

Primary pericardial mesothelioma represents less than 1% of all malignant mesotheliomas. These tumors are very rare, difficult to diagnose, and have a poor response to established treatments. Common clinical presentations include constrictive symptoms, cardiac tamponade, and cardiac failure. Surgical resection can be curative in early stages and for localized tumors, and pericardiectomy and chemotherapy are often used as palliative approaches. We present the case of a 54-year-old woman who has so far survived 4 years after a primary resection of a pericardial mesothelioma and was referred with myocardial and aortopulmonary window recurrences for further treatment.

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