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Timely diagnosis of primary pericardial mesothelioma
  • +3
  • Hsiao Chun Chen,
  • Shihi Chang,
  • Ming-Chon Hsiung,
  • Wei-Kang Kwang,
  • Tien-Ping Tsao,
  • Yung-Nien Yang
Hsiao Chun Chen
Cheng Hsin General Hospital
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Shihi Chang
Chinese Academy of Medical Sciences & Peking Union Medical College Plastic Surgery Hospital and Institute
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Ming-Chon Hsiung
Cheng Hsin General Hospital
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Wei-Kang Kwang
Cheng Hsin General Hospital
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Tien-Ping Tsao
Cheng Hsin General Hospital
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Yung-Nien Yang
Cheng Hsin General Hospital
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Abstract

We present a case of a 66-year-old male with dyspnea and bilateral lower-extremity edema. Pericardiotomy and biopsy were performed and reported malignant mesothelioma. Primary pericardial mesothelioma is a highly malignant tumor that has unfavorable prognosis, and is extremely rare, even among heart tumors. In our case, despite the large amount of pericardial effusion of the first echocardiography, the infiltrated like pericardium was still detected. In addition, cytology after pericardiocentesis reported suspicion of malignancy, which followed by pericardiotomy and biopsy, lead to our timely diagnosis.

Peer review status:UNDER REVIEW

22 May 2020Submitted to Echocardiography
22 May 2020Submission Checks Completed
22 May 2020Assigned to Editor
22 May 2020Review(s) Completed, Editorial Evaluation Pending
26 May 2020Reviewer(s) Assigned
28 Jun 2020Editorial Decision: Revise Major
16 Aug 20201st Revision Received
21 Aug 2020Submission Checks Completed
21 Aug 2020Assigned to Editor
21 Aug 2020Reviewer(s) Assigned
21 Sep 2020Review(s) Completed, Editorial Evaluation Pending