Pericardial Mesothelioma: Definition, Indication, Diagnosis and Treatment

types of mesothelioma are caused past times asbestos, medical experts are silent researching how asbestos manages to arrive at the pericardium.
Pericardial mesothelioma is i of the most hard types to care for because of the fragile place of tumor growth inside the lining of the heart. The pericardium consists of ii layers:
  • The outer layer is known every bit the parietal layer or pump sac.
  • The inner layer is called the visceral layer or epicardium.
Like the other types of mesothelioma, pericardial mesothelioma has a long, 50-70 twelvemonth latency menstruation as well as is ordinarily diagnosed inwards its after stages, oft making for a misfortunate prognosis.

Causes of Pericardial Mesothelioma

Prolonged exposure to asbestos is the only known cause of of most mesothelioma cancers, including pericardial mesothelioma — though the causal human relationship inwards this illustration is less clear.
Generally speaking, unloosen asbestos particles are inhaled as well as get together inwards or close the internal organs. It is unclear, however, every bit to how an private develops pericardial mesothelioma as well as how the unsafe asbestos fibers brand their agency into the pericardium. Researchers theorize that asbestos fibers, i time they are broken into smaller pieces inwards the lungs, are carried from the lungs into the bloodstream. As the fibers are pumped through the heart, they may locomote lodged inwards the pump lining.
Once lodged inwards the pericardium, chronic inflammation leads to the formation of cancerous jail cellphone growth, thickening of the pump lining, as well as tumors, similar to what occurs inwards the to a greater extent than common pleural mesothelioma.
Read more: How Asbestos Makes You Sick?

Symptoms of Pericardial Mesothelioma

A bulk of patients exhibit no symptoms at the onslaught of pericardial mesothelioma. When symptoms are present, it’s hard to distinguish them from to a greater extent than mutual illnesses, such every bit pump disease. As amongst both the pleura as well as the peritoneum, the growth of tumors inwards the pericardial part causes the expansion of tissue as well as allows fluid to accumulate around the heart. The fluid as well as thickened membrane increases pressure, interfering amongst the surgical operation of the heart. It is this fluid that is responsible for most of the symptoms of pericardial mesothelioma. These symptoms include:
  • Chest pain, ranging from uncomfortable to severe
  • Shortness of breath or difficulty breathing
  • Heart palpitations or an irregular heartbeat
  • Persistent coughing
  • Extreme fatigue after minimal action or exertion
Pericardial mesothelioma resembles the other types of asbestos-caused mesothelioma inwards that the symptoms are oft false for something to a greater extent than common. In this case, pump assail or another variety of pump illness is suspected, especially when the patient begins complaining of persistent breast pains. Other mutual pump illnesses pericardial mesothelioma has been false for include:
  • Tuberculosis pericarditis
  • Constrictive pericarditis
  • Cardiac tamponade
  • Intra-atrial myxoma
  • Cardiomyopathy
Symptoms tin forcefulness out vary amongst each patient as well as tin forcefulness out hold out affected past times a number of variables, including:
  • Location as well as size of the tumors
  • Overall wellness of the patient
  • Age of the patient
A thorough patient history is the cardinal to the proper diagnosis of the disease. Anyone who worked amongst asbestos or asbestos-containing products, specially inwards shipyards or inwards the structure field, should ever cite their exposure to their doctor. Because this is a rare disease, other diagnoses are ordinarily considered before doctors investigate the possibilities of mesothelioma.


All forms of mesothelioma are oft hard to diagnose, including pericardial. After assessing symptoms, medical history as well as electrical current health, a physical assay out is performed. Then, imaging tests as well as a biopsy are performed to locate the tumors as well as create upward one's hear whether they are benign or malignant.


The traditional x-ray gives doctors a cursory glance at the heart. Because the diagnostic abilities of traditional x-rays are limited, doctors volition ordinarily monastic say a to a greater extent than sophisticated assay out that gives them a meliorate hold off at the internal organs, such every bit a CT scan or MRI.
The CT scans as well as MRIs tin forcefulness out atomic number 82 doctors to their adjacent footstep inwards diagnosing the disease. If these tests appear to betoken the presence of mesothelioma, the physician volition most probable monastic say a tissue biopsy.


A biopsy is a medical physical care for that uses a sparse needle to take tissue from the affected area. In this case, a biopsy of the pericardium – the lining around the pump – would hold out performed. While the assay out may audio frightening as well as tin forcefulness out hold out uncomfortable, it takes but a few minutes as well as doctors volition create everything possible to lessen whatsoever discomfort. Results of the biopsy tin forcefulness out sometimes receive got to a greater extent than than a week, but volition confirm or deny the diagnosis of mesothelioma.
After receiving a pump illness diagnosis, seeking a 2nd sentiment is oft recommended due to their similarities to pericardial mesothelioma.


If tests are positive for mesothelioma, patients volition in all likelihood hold out given a selection of but a few handling options given the fact that many traditional treatments tin forcefulness out as well as then easily impairment the heart. Also, because the illness is ordinarily diagnosed inwards its belatedly stages, due to the fact that it tin forcefulness out lay dormant for upward to xl or fifty years, options are less than for cancers that tin forcefulness out hold out diagnosed early. Generally, the original handling options include:
  • Surgery
  • Palliative Care
  • Chemotherapy


Surgery is rarely recommended inwards the illustration of pericardial mesothelioma due to the place of the tumors. It may, however, hold out suggested for an appropriate candidate. If it is suggested, a pericardiectomy may hold out performed, where percentage or all of the affected pericardium is removed. This physical care for tin forcefulness out every bit good trim fluid buildup as well as pressure, helping the pump business office to a greater extent than optimally.
Read more: Mesothelioma Surgery

Palliative Care

Because in that place is no cure for this or whatsoever type of mesothelioma, oncologists volition ordinarily suggest mesothelioma treatment options that salve symptoms, trim pain, or improve the overall character of life for the patient. As percentage of a palliative handling excogitation to assist minimize discomfort as well as pain, procedures that take excess fluid are oft performed, including pericardiocentesis as well as fine needle aspiration. Removing the excess fluid aids inwards reducing hurting as well as delineate per unit of measurement area around the heart.
Read more: Mesothelioma Treatment


Treatments traditionally used for the other forms of mesothelioma, including chemotherapy and radiation, receive got been less successful inwards treating pericardial mesothelioma. Patients volition desire to consider chemotherapy every bit an alternative carefully every bit it tin forcefulness out greatly compromise one’s character of life patch providing niggling or no run a peril for a cure.

Read more: How Chemotherapy Fights Mesothelioma?
Read more: How Does Radiation Therapy Work for Mesothelioma?


Doctors as well as query scientists are silent searching for a agency to cure mesothelioma or at to the lowest degree extend the life of those suffering from all types of the disease. Because it is nigh ever diagnosed inwards its belatedly stages as well as due to express handling options, to a greater extent than than one-half of pericardial patients top away inside half dozen months of a diagnosis.
Diagnostic aids that volition effect inwards before diagnosis of mesothelioma are currently beingness tested as well as other forms of handling are beingness surveyed inwards clinical trials, all inwards hopes that the lives of mesothelioma patients tin forcefulness out someday hold out prolonged.
  • Warren WH: The clinical manifestations as well as diagnosis of mesothelioma. Mesothelioma: Diagnosis as well as Management. Edited past times Kittle CF. Chicago: Year Book; 1987: 31.

  • Pass HI: Emerging translational therapies for mesothelioma. Chest 1999, 116:455S-460S.

  • Kralstein J: Malignant pericardial diseases: diagnosis as well as treatment. Am Heart J 1987, 113:785-790.

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