Malignant pericardial mesothelioma
Keywords:
HEART NEOPLASMS, MESOTHELIOMA, MALIGNANT, PERICARDIUM, EARLY DIAGNOSIS.Abstract
Mesotheliomas are malignant neoplasms that originate from the mesothelial cells that cover the serous cavities, being the pericardial location the least frequent. We present the case of a male patient, 28 years of age who came to consultation referring shortness of breath, initially when performing physical efforts, but even during rest with precordial pain, dyspnea and muscle weakness. On the physical examination, he presented a III/VI holosystolic tricuspid murmur with irradiation to the other cardiac auscultation centers. Imaging studies were performed. Chest radiography revealed perihilar mediastinal widening with polycyclic contours. The echocardiogram showed an extracardiac mass compressing right cavities. After three days of evolution, the patient presented intense dyspnea and precordial pain, and died due to cardiorespiratory arrest. Necropsy confirmed the diagnosis of malignant mesothelioma of the pericardium, sarcomatoid variety. Pericardial mesotheliomas are rare, clinically heterogeneous tumors with a low survival rate. Knowledge of its clinical manifestations and anatomopathological characteristics are important for timely diagnosis and treatment.Downloads
References
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