PDF(Pubmed)
Abstract：
Primary cardiac malignant tumors are extremely rare, making up about 10% of all primary cardiac tumors. Most of these tumors are primary sarcomas, with primary mesothelioma being even less common. This report details a 53-year-old male patient diagnosed with primary cardiac malignant mesothelioma. The patient had symptoms of chest pain and difficulty breathing. A CT scan showed an enlarged heart, fluid around the heart, and irregular thickening of the pericardium. Diagnosis was confirmed through a surgical biopsy, which showed the presence of malignant mesothelioma. After the procedure, the patient received appropriate cardiac support. Although stable at discharge, the patient unfortunately died three months later due to severe wheezing. There may be a potential link between exposure to radioactive iodine treatment and this outcome. This case highlights the diagnostic and treatment challenges of primary cardiac malignant tumors and reminds physicians to consider this rare disease when evaluating patients with similar symptoms.
摘要：
原发性心脏恶性肿瘤极为罕见，约占所有原发性心脏肿瘤的10%。这些肿瘤大多数是原发性肉瘤，原发性间皮瘤更不常见。该报告详细介绍了一名53岁的男性患者，该患者被诊断为原发性心脏恶性间皮瘤。患者有胸痛和呼吸困难的症状。CT扫描显示心脏增大,心脏周围的液体，心包不规则增厚。通过手术活检证实了诊断，显示存在恶性间皮瘤。手术后,患者接受了适当的心脏支持.虽然在放电时稳定，不幸的是，病人在三个月后因严重的喘息而死亡。暴露于放射性碘治疗与这种结果之间可能存在潜在联系。该病例突出了原发性心脏恶性肿瘤的诊断和治疗挑战，并提醒医生在评估具有类似症状的患者时考虑这种罕见疾病。
