Difference between revisions of "Pericardial cyst"

From Libre Pathology
Jump to navigation Jump to search
 
(4 intermediate revisions by the same user not shown)
Line 2: Line 2:


==General==
==General==
*Rare - 1 in 100,000.<ref name=pmid22723538/>
*Rare - 1 in 100,000.<ref name=pmid22723538/><ref name=pmid25240572/>
*Approximately 8% of [[mediastinal mass]]es.<ref name=pmid25240572>{{Cite journal  | last1 = Seo | first1 = GW. | last2 = Seol | first2 = SH. | last3 = Jeong | first3 = HJ. | last4 = Seo | first4 = MG. | last5 = Song | first5 = PS. | last6 = Kim | first6 = DK. | last7 = Kim | first7 = KH. | last8 = Kim | first8 = DI. | last9 = Kang | first9 = MJ. | title = A large pericardial cyst compressing the left atrium presenting as a pericardiopleural efussion. | journal = Heart Lung Circ | volume = 23 | issue = 12 | pages = e273-5 | month = Dec | year = 2014 | doi = 10.1016/j.hlc.2014.08.011 | PMID = 25240572 }}</ref>
*Generally believed to be congenital; however, documented development on imaging reported.<ref name=pmid20548822>{{Cite journal  | last1 = Comoglio | first1 = C. | last2 = Sansone | first2 = F. | last3 = Delsedime | first3 = L. | last4 = Campanella | first4 = A. | last5 = Ceresa | first5 = F. | last6 = Rinaldi | first6 = M. | title = Mesothelial cyst of the pericardium, absent on earlier computed tomography. | journal = Tex Heart Inst J | volume = 37 | issue = 3 | pages = 354-7 | month =  | year = 2010 | doi =  | PMID = 20548822 }}</ref>


==Gross==
==Gross==
*Typical location: right cardiophrenic angle.<ref name=pmid22723538>{{cite journal |author=Peebles CR, Shambrook JS, Harden SP |title=Pericardial disease--anatomy and function |journal=Br J Radiol |volume=84 Spec No 3 |issue= |pages=S324–37 |year=2011 |month=December |pmid=22723538 |pmc=3473919 |doi=10.1259/bjr/16168253 |url=}}</ref>
*Typical location: right cardiophrenic angle.<ref name=pmid22723538>{{cite journal |author=Peebles CR, Shambrook JS, Harden SP |title=Pericardial disease--anatomy and function |journal=Br J Radiol |volume=84 Spec No 3 |issue= |pages=S324–37 |year=2011 |month=December |pmid=22723538 |pmc=3473919 |doi=10.1259/bjr/16168253 |url=}}</ref>
==Microscopic==
Features:
*Mesothelial cyst - simple epithelium without cilia.
DDx:
*[[Bronchogenic cyst]] - ciliated epithelium.


==Sign out==
==Sign out==
Line 18: Line 27:
*[[Mediastinum]].
*[[Mediastinum]].
*[[Pericardium]].
*[[Pericardium]].
*[[Benign mesothelial inclusion cyst]].
*[[Foregut duplication cyst]].


==References==
==References==

Latest revision as of 12:26, 8 July 2016

Pericardial cyst is a rare benign pathology of the pericardium.

General

  • Rare - 1 in 100,000.[1][2]
  • Approximately 8% of mediastinal masses.[2]
  • Generally believed to be congenital; however, documented development on imaging reported.[3]

Gross

  • Typical location: right cardiophrenic angle.[1]

Microscopic

Features:

  • Mesothelial cyst - simple epithelium without cilia.

DDx:

Sign out

Mediastinal Lesion, Surgical Excision:
- Benign cyst with a fibrotic wall lined by a simple epithelium, compatible 
  with clinical impression of pericardial cyst.
- NEGATIVE for malignancy.

See also

References

  1. 1.0 1.1 Peebles CR, Shambrook JS, Harden SP (December 2011). "Pericardial disease--anatomy and function". Br J Radiol 84 Spec No 3: S324–37. doi:10.1259/bjr/16168253. PMC 3473919. PMID 22723538. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3473919/.
  2. 2.0 2.1 Seo, GW.; Seol, SH.; Jeong, HJ.; Seo, MG.; Song, PS.; Kim, DK.; Kim, KH.; Kim, DI. et al. (Dec 2014). "A large pericardial cyst compressing the left atrium presenting as a pericardiopleural efussion.". Heart Lung Circ 23 (12): e273-5. doi:10.1016/j.hlc.2014.08.011. PMID 25240572.
  3. Comoglio, C.; Sansone, F.; Delsedime, L.; Campanella, A.; Ceresa, F.; Rinaldi, M. (2010). "Mesothelial cyst of the pericardium, absent on earlier computed tomography.". Tex Heart Inst J 37 (3): 354-7. PMID 20548822.