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间皮瘤是发生于浆膜间皮细胞的肿瘤,世界文献报告约200例。该病常累及胸膜或胸腹膜,也可发生于心包膜或睾丸鞘膜。原发于腹膜的恶性间皮瘤更为少见。本文报告6例,并结合文献予以讨论。临床资料例1 女,74岁。因腹痛、腹胀和消瘦1个月入院。腹水征阳性,全腹未扪及包块。术中见大量淡黄色腹水,大网膜固缩成团,术中网膜活俭,病理诊断:恶性间皮瘤。术后3周全身衰竭死亡。例2 男,54岁。因腹胀、腹痛伴消瘦1个月入院。查体:全腹未扪及包块,腹水征阳性。术中见中等量血性腹
Mesothelioma is a tumor of mesothelial mesothelial cells. It is reported in about 200 cases in the world. The disease often involves the pleura or the chest peritoneum, but also occurs in the pericardium or testicular sheath. Primary malignant mesothelioma in the peritoneum is rarer. This article reports 6 cases and discusses it with literature. Clinical data Example 1 Female, 74 years old. He was admitted to the hospital for abdominal pain, bloating and weight loss for 1 month. The ascites was positive and the abdomen was not palpable. During the operation, a large number of pale yellow ascites were seen, the omentum was constricted into a group, and the omentum lived in the operation. Pathological diagnosis: malignant mesothelioma. Systemic failure died 3 weeks after surgery. Example 2 Male, 54 years old. Due to bloating, abdominal pain with weight loss for 1 month admission. Physical examination: The entire abdomen was not palpable and the mass was ascites. See moderate bloody abdomen during surgery