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  • Title: [Recurrent pericarditis related to primary pericardial malignant mesothelioma].
    Author: Smets P, Guettrot-Imbert G, Hermet M, Delevaux I, Kemeny JL, Aumaître O, André M.
    Journal: Rev Med Interne; 2013 Sep; 34(9):573-6. PubMed ID: 23773902.
    Abstract:
    INTRODUCTION: Most of recurrent pericarditis are idiopathic and only 15 to 20% have a specific diagnosis. Primary pericardial mesothelioma is a rare cause of recurrent pericarditis. Diagnosis can be challenging and antedates patient's death in only 10 to 20% of cases. Histology of mesothelioma and immunohistochemistry are mandatory for the diagnosis. Median of survival before using pemetrexed was about 6 months after diagnosis. CASE REPORT: We report the history of a 64-year-old woman for which repeated biopsy for recurrent pericarditis was necessary to diagnose a primary pericardial mesothelioma. The first biopsy had only found mesothelial hyperplasia. CONCLUSION: This case report highlights the necessity of repeat pericardial biopsy in the case of adverse outcome.
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