胸膜间皮瘤的诊断与治疗

Diagnosis and treatment of pleural mesothelioma

经手术病理证实的胸膜间皮瘤18例,其中良性5例，恶性13例，局限型7例，弥漫型11例，本病术前误诊率高．本组误诊8例。18例均行手术治疗，术后3例失访。本病诊断主要依靠胸水的检查和胸膜活检：局限型胸膜间皮瘤一经确诊，主张早期手术；弥漫型确诊后如患者全身情况允许，应行广泛手术切除及术后综合治疗，以利于延长患者生命。

18 cases of pleural mesothelionm were reported. There wasn't a patient with a history of asbestos exposure. The main clincal manifestations of pleural mesothelioma were chest pain, shortness of breath, low-grade fever and pleural effusion. This disease was usually misdiagnoscd as tuberculous pleurisy and lung cancer. 18 cases of pleural mesothelioma treated by surgery. Chest x-ray examination and CT scan were helpful in the diagnosis. Needle pieural hiopsy and open pleural blopsy are main diagnostic methods. Methods of treatment of pleural mesothelioma are surgical theralpy,radiotherapy and chemotherapy.