18F‑fluorodeoxyglucose imaging of primary malignant pericardial mesothelioma with concurrent pericardial and pleural effusions and bone metastasis: A case report

Li,Xiaohui; Lu,Rugang; Zhao,Youcai; Wang,Feng; Shao,Guoqiang

doi:10.3892/mco.2018.1604

June-2018 Volume 8 Issue 6

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June-2018 Volume 8 Issue 6

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18F‑fluorodeoxyglucose imaging of primary malignant pericardial mesothelioma with concurrent pericardial and pleural effusions and bone metastasis: A case report

Authors:
- Xiaohui Li
- Rugang Lu
- Youcai Zhao
- Feng Wang
- Guoqiang Shao
View Affiliations / Copyright

Affiliations: Department of Radiology, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210008, P.R. China, Department of Urinary Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210008, P.R. China, Department of Pathology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, P.R. China, Department of Nuclear Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, P.R. China
Pages: 725-728
|
Published online on: April 12, 2018

https://doi.org/10.3892/mco.2018.1604
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Abstract

Primary malignant pericardial mesothelioma (PMPM) is an aggressive tumor that originates from the mesothelial cells of the pericardium. PMPM with extensive atrial infiltration and bone metastasis is extremely rare. The diagnosis and staging of PMPM based on anatomical imaging may be difficult when concurrent pericardial and pleural effusions are present. A 28‑year‑old man presented with progressive chest pain. Concurrent pericardial and pleural effusions were identified on computed tomography. On echocardiography, mild thickening and adhesions of the pericardium with the right ventricle and atrium were observed. 18F‑fluorodeoxyglucose (FDG) metabolism imaging revealed increased accumulation in the pericardium and adjacent right atrium. Ring‑shaped radioactivity aggregation and bone destruction in the sacrum were demonstrated on 18F‑FDG and 99mTc‑methyl diphosphonate imaging. The diagnosis of PMPM was subsequently confirmed by pathology. The patient survived for >1.5 years with comprehensive treatment.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

18F‑fluorodeoxyglucose imaging of primary malignant pericardial mesothelioma with concurrent pericardial and pleural effusions and bone metastasis: A case report

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