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Titolo:
Surgical pathology of the parietal pericardium: A study of 344 cases (1993-1999)
Autore:
Oh, KY; Shimizu, M; Edwards, WD; Tazelaar, HD; Danielson, GK;
Indirizzi:
Mayo Clin, Div Anat Pathol, Rochester, MN 55905 USA Mayo Clin Rochester MN USA 55905 Div Anat Pathol, Rochester, MN 55905 USA Mayo Clin, Mayo Med Sch, Rochester, MN USA Mayo Clin Rochester MN USAMayo Clin, Mayo Med Sch, Rochester, MN USA Mayo Clin, Div Cardiovasc Surg, Rochester, MN USA Mayo Clin Rochester MN USA Clin, Div Cardiovasc Surg, Rochester, MN USA
Titolo Testata:
CARDIOVASCULAR PATHOLOGY
fascicolo: 4, volume: 10, anno: 2001,
pagine: 157 - 168
SICI:
1054-8807(200107/08)10:4<157:SPOTPP>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC CONSTRICTIVE PERICARDITIS; CONSECUTIVE PATIENTS; CARDIAC-SURGERY; DISEASE; ETIOLOGY; EFFUSIONS; DIAGNOSIS; SPECTRUM; CYTOLOGY;
Keywords:
constrictive pericarditis; pericardial neoplasm; pericarditis; pericardial effusion; pericardium; surgical pathology;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
55
Recensione:
Indirizzi per estratti:
Indirizzo: Tazelaar, HD Mayo Clin, Div Anat Pathol, Hilton 11,200 1st St SW, Rochester, MN 55905 USA Mayo Clin Hilton 11,200 1st St SW Rochester MN USA 55905 USA
Citazione:
K.Y. Oh et al., "Surgical pathology of the parietal pericardium: A study of 344 cases (1993-1999)", CARDIO PATH, 10(4), 2001, pp. 157-168

Abstract

Among 344 cases with surgically resected parietal pericardium, ages rangedfrom 1 to 87 years (mean, 55), and 64% were male. Causes of pericardial disease included neoplastic (33%), idiopathic (30%), iatrogenic (23%), and others (14%). Pericardial constriction (Group 1) represented the largest group (143 cases, 76% male). Maximal pericardial thickness was 1-17 mm (mean, 4). Fibrotic thickening occurred in 96%. Chronic lymphoplasmacytic inflammation affected 73% (mild or moderate in 97%). Calcification was uncommon (gross in 28%, microscopic in 8%), and granulomas were rare (4%, none tubercular). Constriction was idiopathic in 49% and iatrogenic (postpericardiotomy or postirradiation) in 41%. Neoplasms and cysts (Group 2) represented the second largest group (96 cases). Among 43 cases with secondary pericardial involvement, carcinomas accounted for 53% and lymphomas 21%. Forty cases (Group 3) had pericardial effusions (75% chronic), which were idiopathic in 28%and postpericardiotomy in 23%. Thirty-three cases (Group 4) had acute or recurrent pericarditis clinically, which was idiopathic in 70%. Lastly, 32 cases (Group 5) had pericardial resection for conditions unrelated to primary pericardial disease. In conclusion, pericardial constriction tended to benontubercular (100%), nongranulomatous (96%), idiopathic or iatrogenic (90%), and noncalcific (64%), and it could occur with normal pericardial thickness (4%). Because considerable overlap in the gross and microscopic features existed among cases with noncalcific pericardial constriction (Group 1),pericardial effusions (Group 3), and pericarditis (Group 4), clinical information was necessary to provide an accurate clinicopathologic interpretation. (C) 2001 Elsevier Science Inc. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 09:25:57