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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。
16 cases of pleural mesothelioma, of which 1 case had asbestos exposure history, accounting for 6.17%; >40 years old accounted for 81.5%. The main clinical manifestations of chest pain, shortness of breath, cough, fever and pleural effusion, clinically misdiagnosed as tuberculous pleurisy, pleural metastasis of lung cancer. Chest X-ray examination and chest CT are helpful in the diagnosis of this disease, and most of them have characteristic features. Confirmed by acupuncture pleural biopsy and thoracic biopsy. The treatment of pleural mesothelioma mainly includes surgery, radiotherapy and chemotherapy. For localized treatment, surgical resection is the first choice. The benign and malignant tumors, the staging of the disease, and the treatment and prognosis have a certain relationship.