胸腔镜检查对少见疑难恶性胸腔积液的诊断价值

The Diagnostic Value of Thoracoscopy in Rare Undiagnosed Malignant Pleural Effusions

目的 :评价胸腔镜检查对少见疑难恶性胸腔积液的诊断价值。方法 :对 5例经常规检查病因未明的可疑恶性胸腔积液者进行胸腔镜检查。结果 :发现胸膜多处结节或菜花样肿物 ,于胸膜病变处活检 ,病理确诊为胸膜转移性滑膜肉瘤、恶性纤维肉瘤、恶性组织细胞病各 1例 ,恶性黑色素瘤 2例。结论

Objective:To assess the value of thoracoscopy in rare undiagnosed malignant pleural effusions. Methods:5 cases of unknowm originating pleural effusions were examined though thoracoscopy.Results:The lumps of nodosity were observed througth thoracoscopy which were biopsied.There were one case with synoviosarcoma,or with fibrosarcoma,malignant hiatiocytosis,two cases with malignant melanoma which were diagnosed by pathologic histology. Conclusions:The results were shown that thoracoscopy is an accurate and effective measure in diagnosing patients with indefinited malignant pleural effusions.