摘要
１６例胸膜间皮瘤，其中１例有石棉接触史，占６．１７％；＞４０岁者占８１．５％。主要临床表现为胸痛、气短、咳嗽、低热和胸腔积液，临床上易误诊为结核性胸膜炎、肺癌胸膜转移等。胸部ｘ线检查及胸部ＣＴ对该病的诊断有帮助，大都有特征性表现。确诊靠针刺胸膜活检及开胸活检。胸膜间皮瘤的治疗主要采用手术、放疗和化疗，对于局限型治疗首选手术切除。肿瘤的良、恶性、疾病的分期及治疗与预后有一定关系。
cases of pleural mesothelioma were
reported. There was a patient with a his-tory of asbestos exposure.
81.5%of patients with pleural mesothelioma were between the ages of
40 to 70 years.The main clinical manifestations of pleural
mesothelioma were chest pain ,shortness of breath ,low-grade fever
and pleural effusion, This disease was usually misdiagnosed as
tuberculous pleurisy and lung cancer, Chest X- ray examination and CT
scan were helpful in the diagnosis. Needle pleural biopsy and open
pleural biopsy are main diagnostic methods. Methods of treatment of
pleural mesothelioma are surgical therapy, radiotherapy and
chemotherapy. Prognosis of pleural mesothelioma is related to
histologic type, stage and treatment.
出处
《中日友好医院学报》
1995年第2期104-106,共3页
Journal of China-Japan Friendship Hospital
