Mesothelial/monocytic incidental cardiac excrescences (MICE): report of a case and review of literature with focus on pathogenesis

Cardiovasc Pathol. 2018 Sep-Oct:36:25-29. doi: 10.1016/j.carpath.2018.06.001. Epub 2018 Jun 10.

Abstract

Mesothelial/monocytic incidental cardiac excrescence (MICE) is a benign lesion composed of histiocytes and mesothelial cells, usually found during cardiac surgery. To date, no more than 50 cases are reported in literature, and pathogenesis is still unclear even if different theories have been proposed. Here we report a case of MICE encountered during aortic valve replacement with typical histological features and extensive immunohistochemical investigation. To date, little information is available about the pathogenesis of MICE. We review the current literature focusing on the role of adhesion molecules such as CD31.

Keywords: Adhesion molecules; CD 31; Histiocytic proliferations; Immunohistochemistry; MICE; Mesothelial/monocytic incidental cardiac excrescences.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Aortic Valve Insufficiency / surgery
  • Biomarkers / analysis
  • Biopsy
  • Cell Proliferation
  • Epithelial Cells / pathology*
  • Heart Valve Prosthesis Implantation
  • Histiocytes / pathology*
  • Humans
  • Immunohistochemistry
  • Incidental Findings*
  • Male
  • Mitral Valve / pathology*
  • Platelet Endothelial Cell Adhesion Molecule-1 / analysis

Substances

  • Biomarkers
  • Platelet Endothelial Cell Adhesion Molecule-1