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

A 66-year-old male referred to our hospital with dyspnea and bilateral lower-extremity edema. Chest radiography (CXR) showed pleural effusions and cardiomegaly. Transthoracic echocardiography revealed large pericardial effusion with a heterogeneous hyperechoic mass in the right ventricular pericardial wall. Histopathological examination confirmed the diagnosis of epithelioid mesothelioma. Primary pericardial mesothelioma is an extremely rare and poorly diagnosed malignancy with a historically poor prognosis. Thus, a timely diagnosis and treatment are crucial for the management of primary pericardial mesothelioma.