Malignant pericardial mesothelioma. Report of two cases, review of the literature and differential diagnosis.
Primary malignant pericardial mesothelioma is an extremely rare tumour. One of the largest autopsy series including about 500,000 cases gave an incidence of primary pericardial tumours of <0.0022% (Gossinger et al., 1998). However, it accounts for approximately 2-3% of all cardiac and pericardial primary tumours being the third tumour after angiosarcoma and rhabdomiosarcoma (Karadzic et al., 2005; Papi et al., 2005).