Schumann C, Kunze M, Kochs M, Hombach V, Rasche V
Int J Cardiol. 2007 Jun 12;118(3):e83-4. doi: 10.1016/j.ijcard.2007.01.029. Epub 2007 Mar 30.
We report a case of a 64-year-old woman with increasing shortness of breath due to massive pericardial effusion. Cardiac magnetic resonance imaging (CMRI) identified typical findings for pericarditis. Pericardectomy was needed due to suspicion of pericardial abscess formation. Histological examination of the resected tissue revealed an undifferentiated primary pericardial synovial sarcoma. The present case illustrates that pericardial tumours could be an important differential diagnosis to pericarditis, even if typical findings of pericarditis were present in CMRI.
我们报告一例64岁女性因大量心包积液导致呼吸急促加重。心脏磁共振成像（CMRI）发现了心包炎的典型表现。由于怀疑心包脓肿形成，需要进行心包切除术。对切除组织的组织学检查显示为未分化的原发性心包滑膜肉瘤。本病例表明，心包肿瘤可能是心包炎的重要鉴别诊断，即使CMRI中存在心包炎的典型表现。
