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Published on September 9, 2008
Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2008.184499
© 2008 European Association of Cardio-Thoracic Surgery

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Cardiac general

Cardiac mesothelial/monocytic-incidental-excrescence: more than an artifactual lesion?

Stefano Censi 1, Andrea Dell'Amore 1*, Rita Conti 1, Paolo Lorenzini 2

1 Villa Maria Cecilia Hospital, Cotignola (RA), Italy
2 Ospedale Civile di Lugo, Lugo (RA), Italy

* To whom correspondence should be addressed. E-mail: dellamore76{at}libero.it.


   Abstract
Mesothelial/monocytic incidental cardiac excrescence (MICE) is a benign finding made up of a mixture of cuboidal mesothelial cells, histiocytes and fibrine and is mainly found incidentally during open heart surgery, commonly after cardiac catheterization. Clinical importance of this lesion has been emphasized because of its potential confusion with malignancies, especially with metastatic carcinoma. We report a case of an asymptomatic 72-year-old man with incidental finding of a pericardial effusion and a small mass attached to the left appendage. Keywords: Mesothelial/monocytic incidental cardiac excrescence; Cardiac surgery; Pericardium; Cardiac neoplasm





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