Pericardial mesothelioma presenting as chronic constrictive pericarditis. A series of three cases from a single institution

Abstract

Pericardial mesotheliomas are rare tumors which often present with features of constrictive pericarditis. We present clinical, imaging, histological, and immunohistochemical findings of three cases presenting with chronic constrictive pericarditis. Two of these cases were initially treated as tuberculous pericarditis. Histologically, all the three cases were of an epithelioid type and showed positivity for more than one mesothelial markers. Two patients had a fatal outcome, and one was lost to follow-up.

Keywords

• Chronic constrictive pericarditis
• imaging
• immunohistochemistry
• mesothelioma
• morphology
• pericardium