[Brain metastasis from primary pericardial mesothelioma. Case report].

Abstract:

:A 50-year-old female was admitted because of nausea, vomiting, and cerebellar ataxia. Computed tomography scan revealed an enhanced mass accompanied with a cyst in the right cerebellar hemisphere. The mass situated in the subcortical region was removed. Histologically, highly vascular tumor cells lined the cavities. Postoperative radio- and chemotherapy were administered and the clinical symptoms improved gradually. Two months later, the patient complained of dyspnea. Chest X-ray on second admission demonstrated cardiomegaly. Hemorrhagic pericardial effusion amounting to 1000 ml was aspirated by pericardial puncture. Papillary clusters of tumor cells were demonstrated in the pericardial effusion. The patient died of cardiac failure. At necropsy solid tumors were located in the heart, lung, left inguinal region, and cerebellum. Histological diagnosis was mesothelioma arising from the heart. Primary pericardial mesotheliomas are rare; approximately 106 cases have been reported. Pericardial mesothelioma frequently spreads to the adjacent pleura and mediastinum, but distant metastases are extremely rare because patients with pericardial mesothelioma tend to die early due to cardiac failure or cardiac tamponade.

authors

Asoh Y,Nakamura M,Maeda T,Shiogai T,Ogashiwa M,Takeuchi K,Watanabe K,Tanaka U,Matsuo E

doi

10.2176/nmc.30.884

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

884-7

issue

11 Spec No

eissn

0470-8105

issn

1349-8029

pii

JST.Journalarchive/nmc1959/30.884

journal_volume

30

pub_type

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