Open Access

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

  • Published online on: April 12, 2018     https://doi.org/10.3892/mco.2018.1604
  • Pages: 725-728
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


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.
View Figures
View References

Related Articles

Journal Cover

June 2018
Volume 8 Issue 6

Print ISSN: 2049-9450
Online ISSN:2049-9469

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
APA
Li, X., Lu, R., Zhao, Y., Wang, F., & Shao, G. (2018). 18F‑fluorodeoxyglucose imaging of primary malignant pericardial mesothelioma with concurrent pericardial and pleural effusions and bone metastasis: A case report. Molecular and Clinical Oncology, 8, 725-728. https://doi.org/10.3892/mco.2018.1604
MLA
Li, X., Lu, R., Zhao, Y., Wang, F., Shao, G."18F‑fluorodeoxyglucose imaging of primary malignant pericardial mesothelioma with concurrent pericardial and pleural effusions and bone metastasis: A case report". Molecular and Clinical Oncology 8.6 (2018): 725-728.
Chicago
Li, X., Lu, R., Zhao, Y., Wang, F., Shao, G."18F‑fluorodeoxyglucose imaging of primary malignant pericardial mesothelioma with concurrent pericardial and pleural effusions and bone metastasis: A case report". Molecular and Clinical Oncology 8, no. 6 (2018): 725-728. https://doi.org/10.3892/mco.2018.1604