Update on diagnosis and management of neoplastic pericardial disease. (1st September 2020)

• Record Type: Journal Article
• Authors: Avondo, Stefano; Andreis, Alessandro; Casula, Matteo; Imazio, Massimo
• Is Part Of: Expert review of cardiovascular therapy. Volume 18:Number 9(2020)
• Page Start: 615
• Page End: 623
• Publication Date: 2020-09-01
• Subjects: Pericardium -- mass -- tumor -- neoplastic -- effusion; Cardiovascular agents -- Research -- Periodicals; 616.12061
• DOI: 10.1080/14779072.2020.1811087
• Languages: English
• ISSNs: 1477-9072

Abstract

ABSTRACT: Introduction: Pericardial neoplasms are uncommon, mostly due to secondary involvement of the pericardium by extracardiac tumors. Clinical presentation is nonspecific, frequently leading to a delayed diagnosis. Moreover, both benign and malignant pericardial tumors may be associated with myocardial infiltration and mechanical compression of cardiac chambers, possibly precipitating clinical conditions. Pericardial tumors are indeed a diagnostic and therapeutic clinical challenge. Areas covered: This review aims to provide an overview of the main clinical characteristics of pericardial tumors, along with their management in clinical practice. Expert commentary: Multimodality imaging (echocardiography, chest X-ray, CT, CMR, and PET) enable full characterization of pericardial neoplasms. An individualized strategy should be developed by a multidisciplinary team including cardiologists, oncologists, radiologists, and cardiac surgeons.