Raeside Mitchell C, Gormly Kirsten, Neuhaus Susan J, Kotasek Dusan, James Craig
Dr Jones and Partners Medical Imaging, Adelaide, SA, Australia.
Department of Surgery, University of Adelaide, Royal Adelaide Hospital, Adelaide, SA, Australia.
BJR Case Rep. 2016 Nov 12;2(1):20150295. doi: 10.1259/bjrcr.20150295. eCollection 2016.
We present the case of a 67-year-old male who was found to have multiple enhancing pericardial masses on CT imaging for investigation of weight loss and was subsequently diagnosed with primary pericardial mesothelioma. Although rare, pericardial mesothelioma is the most common primary malignancy of the pericardium and should be considered in the differential diagnosis of pericardial effusion, pericardial thickening or discreet pericardial mass. It is important for radiologists to be aware of pericardial mesothelioma as its clinical presentation is non-specific and it may be incidentally noted on radiological studies for investigation of apparently non-related symptoms. The prognosis of primary pericardial mesothelioma is universally poor.
我们报告一例67岁男性病例，该患者因体重减轻接受CT检查时发现多个心包强化肿块，随后被诊断为原发性心包间皮瘤。心包间皮瘤虽罕见，但却是心包最常见的原发性恶性肿瘤，在鉴别诊断心包积液、心包增厚或心包离散性肿块时应予以考虑。放射科医生了解心包间皮瘤很重要，因为其临床表现不具特异性，可能在对明显无关症状进行检查的放射学研究中偶然发现。原发性心包间皮瘤的预后普遍较差。
