胸膜间皮瘤重点.pptx

多模态成像在恶性胸膜间皮瘤特征、分类和分期的应用;概述;危险因素;危险因素;危险因素;流行病学及临床特征;组织学类型;壁层胸膜多于脏层胸膜，右侧多于左侧，肿瘤可以融合呈胸膜斑块;尸检显示胸膜外转移的机率约55%;分期;恶性胸膜间皮瘤的分期系统国际间皮瘤研究组(IMIG)对恶性间皮瘤的分期标准(1) ;恶性胸膜间皮瘤的分期系统国际间皮瘤研究组(IMIG)对恶性间皮瘤的分期标准(1) ;影像特征;胸片;; ;Figure 3. Osteocartilaginous differentiation in a 54-year-old man with MPM. (a) Posteroante-rior radiograph shows extensive ossification of pleural disease in the left hemithorax. Nodularity seen along the lateral left hemithorax is consis-tent with chest wall invasion, and there is ipsi-lateral volume loss. Calcified pleural plaques are seen in the right hemithorax (arrow). (b) Axial nonenhanced well-collimated CT image of the inferior left hemithorax shows extensive tumor involvement with extension into the chest wall. ;Figure 4. Asbestos-related pleural disease in a 51-year-old man who subsequently developed MPM. (a) Posteroanterior radiograph shows bilateral pleural plaques that result in a “shaggy” cardiac silhouette (white arrow) and ill-defined diaphragmatic contours (black arrow). (b) Axial contrast-enhanced CT image at the level of the main pulmonary artery bifurcation shows extensive calcified and noncalcified pleural plaques secondary to long-standing asbestos exposure. Note the mediastinal pleural plaques (arrow), which are uncommonly seen.;CT; Figure 5. Mediastinal invasion in a 64-year-old woman with MPM. Axial contrast-enhanced well-collimated CT image at the level of the left ventricle shows a large right chest mass (white arrow) representing MPM that extends into the mediastinal fat, exerts mass effect on the right heart chambers, and occludes a right pulmonary vein (black arrow). A right pleural effusion is also seen. The loss of fat and tissue planes is consistent with mediastinal invasion. The mass constitutes a T4 tumor with invasion of mediastinal structures；; Figure 6. Mediastinal invasion in a 58-year-old man with MPM. Axial contrast-enhanced well-collimated CT image just inferior to the transverse thoracic aorta shows circumferential nod