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胸膜间皮瘤43例诊断分析(Diagnosis and analysis of 43 cases of pleural mesothelioma).doc

胸膜间皮瘤43例诊断分析(Diagnosis and analysis of 43 cases of pleural mesothelioma).doc

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胸膜间皮瘤43例诊断分析(Diagnosis and analysis of 43 cases of pleural mesothelioma) Diagnosis and analysis of 43 cases of pleural mesothelioma Update date: 2011-03-22 fan with tiger meiqi Pleural mesothelioma case fatality rate is high, the diagnosis is difficult, the misdiagnosis rate is high, the foreign reports in 24 cases, 1 case of preoperative diagnosis, domestic reported 132 cases, 85 cases of misdiagnosis, enough to illustrate the diagnostic difficulties [1]. The present report and analysis of 43 cases of pleural mesothelioma confirmed by our hospital from 1974 to 1999 were analyzed to further improve the diagnostic level of pleural mesothelioma. 1 data and methods Choose 1.1 cases from 1974 to 1999 in the hospital 43 cases of pleural mesothelioma patients were confirmed by pathology, 24 cases of men and women in 19 cases, aged 6 ~ 72 years old, average 40.6 years old, no record of the history of asbestos exposure. 1.2 clinical symptoms of 43 patients with pleural mesothelioma were mainly chest pain, followed by cough and shortness of breath, as shown in table 1. Table 1. 43 cases of pleural mesothelioma * percentage of cases (%) Chest pain 20 46.5 16 37.2 coughs Gas emergency 12 27.9 Hot 8 18.6 phlegm Other symptoms 4 9.3 The physical examination was found at 10.23.3 Note: * some cases have more than one symptom 1.3 X-ray thoracic films were mainly manifested as pleural nodules (51.2%), including 16 cases of pleural nodules (37.2%) and diffuse nodules (14.0%). There were 4 cases of irregular nodular pleural thickening (9.3%), 10 cases of pleural effusion (23.3%), 3 cases (7.0%), 2 cases of pleural calcification (4.7%), and 1 case of pleural fibrous plaque. The right side (21 cases) was more than the left (19 cases) and bilateral lesions were 3 cases. In 8 cases, benign fibrillar pleural mesothelioma showed pleural single nodules. 1.4 shown on CT chest CT scans are often irregular thickening of pleura lung tissue, and can extend to crack between leaf, but only 10 cases

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