Department of Surgery, Division of Cardiothoracic Surgery, Emory University, Atlanta, Georgia.
Ann Thorac Surg. 2013 Aug;96(2):680-1. doi: 10.1016/j.athoracsur.2013.01.035. Epub 2013 Jan 23.
Primary pericardial mesothelioma is a rare clinical entity. The association between asbestos and pericardial mesothelioma has not been well established, partly due to the small number of reported patients. Treatment options are limited for this very aggressive cancer. Surgical resection in the form of pericardiectomy can be curative, but owing to the frequently late presentation, surgical intervention is usually palliative. Chemotherapy and radiotherapy have overall poor results. We present the case of a 19-year-old man who initially had symptoms of pericarditis. He died 1 year after initial presentation.
原发性心脏包膜间皮瘤是一种罕见的临床实体。石棉与心脏包膜间皮瘤之间的关联尚未得到充分证实，部分原因是报告的患者人数较少。对于这种侵袭性极强的癌症，治疗选择有限。心包切除术形式的手术切除可以是治愈性的，但由于常常是晚期表现，手术干预通常是姑息性的。化疗和放疗总体效果不佳。我们报告了一例 19 岁男性患者，最初表现为心包炎症状。他在初次就诊后 1 年死亡。
