Pericardial mesothelioma

Last revised by Bahman Rasuli on 30 Aug 2020

Pericardial mesothelioma refers to mesothelioma arising primarily from the pericardium. 

They are rare and are only thought to account for ~0.7% of all malignant mesotheliomas. There is male to female predominance of approximately 3:1.

The presentation of pericardial mesothelioma is non-specific with complaints of dyspnea, chest pain, and weight loss.  

Pericardial mesothelioma can present as a localized or diffuse mass.

Some reports suggest an association with asbestos exposure but being not as strong as for pleural mesothelioma. Others state no association with asbestos exposure.

It is a lethal disease-carrying a very poor prognosis. Surgical resection can be option for symptomatic relief.

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