Key result
Pericardial decortication through cardiopulmonary bypass effectively relieved clinical symptoms in an adult male with primary pericardial malignant mesothelioma.
Why the study?
Primary pericardial malignant mesothelioma is a highly malignant and rare tumor, and literature is reviewed to extend the understanding of the disease.
Case Report (n=1)
Primary pericardial malignant mesothelioma is a rare tumor requiring pathological and immunohistochemical diagnosis, with surgery as the mainstay of treatment despite poor prognosis.
May relieve obstructive symptoms via bypass-assisted decortication in primary pericardial mesothelioma; leaves optimal management open given extreme rarity.
Background : Primary pericardial malignant mesothelioma is a highly malignant and rare tumor. We present a case of primary pericardial malignant mesothelioma in an adult male patient and review the relevant literature to extend the understanding of the disease. Methods: The patient underwent pericardial decortication through the cardiopulmonary bypass, which effectively relieved the clinical symptoms caused by the tumor blockage. Results: Postoperative pathological diagnosis and immunohistochemistry resulted in primary pericardial malignant mesothelioma. The patient recovered after surgery and was followed up regularly after discharge. Conclusions: Primary pericardial malignant mesothelioma lacks characteristic clinical and imaging manifestations, invariably resulting in misdiagnosis. Pathological results combined with immunohistochemistry are the gold standard for diagnosis. Surgery is the mainstay of treatment, but the prognosis is extremely poor.
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Chen et al. (2022) conducted a case report in Primary pericardial malignant mesothelioma (n=1). Pericardial decortication through cardiopulmonary bypass was evaluated on Clinical symptom relief and postoperative recovery. Pericardial decortication through cardiopulmonary bypass effectively relieved clinical symptoms in an adult male with primary pericardial malignant mesothelioma.
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