18F-FDG PET/CT is useful for detecting and evaluating the extent of primary pericardial mesothelioma, an extremely rare malignancy.
Supports FDG PET/CT for rare pericardial mesothelioma staging; leaves open routine use pending larger series.
Primary pericardial mesothelioma is an extremely rare malignancy. We report a case of a 58-year-old woman who presented with fever and fatigue. She had no apparent history of occupational or incidental exposure to asbestos. A postcontrast-enhanced chest CT revealed a 77 × 56-mm mass lesion in the pericardium. The FDG PET/CT was carried out, which demonstrated an intense FDG uptake to a main pericardial tumor and disseminated lesions in the pericardium. Histologic examination confirmed the primary malignant pericardial mesothelioma.
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Aga et al. (2012) studied this question.
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