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Updated: Aug 17, 2026

Orthotopic Implantation and Peripheral Immune Cell Monitoring in the II-45 Syngeneic Rat Mesothelioma Model
Published on: October 2, 2015
Abstract:
An observation of malignant mesothelioma of the pericardium is described. The tumour grew as papillomatous formations and thick plaques lining the inner surface of the pericardium with transition to the epicardium and the development of massive hemorrhagic pericarditis. The mixed nodular-plate form is histological close to adenocarcinoma. There were metastases in the pleura, paratracheal and posterior mediastinal lymph nodes. Clinically the disease ran a course with angina pectoris and simulated idiopathic myocarditis not confirmed histologically.
Insights
Malignant mesothelioma of the pericardium is a rare tumor presenting as plaque-like formations. This case highlights its aggressive nature with pericarditis and distant metastases.
Area of Science:
- Oncology
- Pathology
- Cardiology
Background:
- Malignant mesothelioma of the pericardium is a rare primary tumor of the heart's lining.
- Diagnosis can be challenging due to its rarity and varied presentations.
Observation:
- A case of malignant mesothelioma involving the pericardium is presented.
- The tumor manifested as papillomatous growths and thick plaques on the pericardial surface, extending to the epicardium.
- Massive hemorrhagic pericarditis was a prominent feature.
Findings:
- Histological examination revealed a mixed nodular-plate morphology, resembling adenocarcinoma.
- Metastases were identified in the pleura and mediastinal lymph nodes (paratracheal and posterior).
- Clinical symptoms included angina pectoris, mimicking idiopathic myocarditis.
Implications:
- This case underscores the importance of considering pericardial mesothelioma in the differential diagnosis of cardiac and chest conditions.
- The findings emphasize the potential for aggressive behavior and distant spread of this rare malignancy.
- Accurate histological classification is crucial for appropriate patient management and prognosis.
Related Concept Videos
Pleural Disorders: Types and Brief Description
Pericarditis I: Introduction
Pericarditis II: Clinical Features and Diagnostic Tests
Pericarditis III: Medical Management
Pericarditis IV: Nursing Management
Cardiomyopathy I: Introduction and Classification

