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  • Title: The Antemortem Diagnosis of Primary Malignant Pericardial Mesothelioma: A Multidisciplinary Evaluation.
    Author: Shikano K, Hirano S, Hiroishi T, Hayama N, Fujita T, Amano H, Nakamura M, Nakamura S, Tabeta H, Ichinose S, Uchida O, Shimizu S.
    Journal: Intern Med; 2018 Sep 01; 57(17):2559-2562. PubMed ID: 29709931.
    Abstract:
    A 64-year-old woman complaining of progressive dyspnea was admitted with recurrence of massive pericardial effusion. The patient had been diagnosed with radiation pericarditis based on a previous case of pericardiocentesis. To make a diagnosis and improve her symptoms, imaging examinations and pericardial fenestration were performed. Because of difficulty making a diagnosis, after some months, pericardiotomy and incision of the epicardium were performed. The patient was ultimately diagnosed with primary malignant pericardial mesothelioma of the epithelioid type. Primary malignant pericardial mesothelioma is a rare tumor that is difficult to diagnose. An antemortem diagnosis can be made by a multidisciplinary evaluation.
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