1 case of malignant mesothelioma multi-site.docVIP

 PAGE \* MERGEFORMAT 6 1 case of malignant mesothelioma multi-site [Keywords:] mesothelioma Mesothelioma is often the system from the serosal mesothelial cells, mostly in the primary, almost all highly malignant tumors. I met a case of malignant mesothelioma of the hospital, while violations of the pleura, pericardium, mediastinal lymph nodes, peritoneum, are rare. are as follows. Case Information Patients, male, 23 years old, students, residents, No. 17066. Main cause of chest pain, shortness of breath with fatigue, night sweats, fever 5 months increased 1 month to seek treatment for .5 months ago there was no obvious incentive to fatigue, night sweats, high fever (maximum temperature 39 ℃. to take into account the local hospital, “TB” given anti-TB treatment, the disease-free remission and chest pain, shortness of breath symptoms. 20 days prior to admission to a military hospital in Zhangjiakou, the chest X-ray, ultrasound and other tests, a diagnosis of “tuberculous pleurisy “is still given to anti-TB treatment (HRZ, invalid after being introduced to our hospital in March 25, 2006 admission. admission in patients with cough, no sputum, a little shortness of breath, chest pain, fever, fatigue, night sweats, loss of appetite. past physical health, denied history of exposure to tuberculosis. Physical examination: body temperature 36.8 ℃, pulse 66 beats / min, BP105/80 mm Hg. Mucosa stained body skin and bleeding points, the size of the right inguinal mass reach as broad beans tough movable lymph node enlargement. No deformity skull, neck soft , no jugular vein engorgement. decreased breath sounds left lower, left fifth intercostal and pleural friction Sassafras audible sound. belly tough, positive shifting dullness, swollen feet refers to the concave. Laboratory tests: blood WBC7.0 × 109 / L, N69%, L31%, RBC4.55 × 1012 / L, Hb125g, ESR 5 mm / hour. Urine RBC (+++, being no exception, liver and kidney function showed no abnormalities, acid-fast