CaseReportMalignantPeritonealMesothelioma病例报告腹膜恶性.PDFVIP

台灣癌症醫誌 (J. Cancer Res. Pract.) 2(1), 83-92, 2015 DOI: 10.6323/JCRP.201 journal homepage:.tw/web/index.asp Case Report Malignant Peritoneal Mesothelioma Zhong-Yi Lin1,2, Cheng-Hsin Chu1,2,3, Horng-Yuan Wang1,2,3, Shou-Chuan Shih1,2,3, Ming-Jen Chen1,2,3* 1Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan 2Mackay Junior College of Medicine, Nursing and Management, Taipei, Taiwan 3Department of Medicine, Mackay Medical College, New Taipei City, Taiwan Abstract. Malignant peritoneal mesothelioma (MPM) is rare. It is difficult to diagnose early and re- sponds poorly to treatment. There is no optimal and effective treating consensus so far. We re- port three patients of MPM treated at Mackay Memorial Hospital in recent 3 years. They were two men and one woman without asbestos exposure related to their occupations. Due to failure in early diagnosis of MPM, none of them survived for more than 5 months. We make a brief re- view from the previous literature. These three cases were compared with the reviewing data in many aspects including the risk factor, clinical presentation, diagnostic options, and manage- ment. Besides, some latest clinical trials are introduced in this report. Keywords : malignant peritoneal mesothelioma, peritoneal tumor, abdominal carcinomatosis 病例報告 腹膜惡性間皮細胞瘤 林仲一 1,2 朱正心 1,2,3 王鴻源 1,2,3 施壽全 1,2,3 陳銘仁 1,2,3* 1 馬偕紀念醫院 肝膽腸胃內科 2 馬偕醫護管理專科學校 3 馬偕醫學院 醫學系 中文摘要 腹膜惡性間皮細胞瘤相當罕見。它很難早期被診斷，並且對於治療的反應也不好。 至今仍然未見有效的治療共識。我們收集到馬偕醫院這三年發現的三個病例，包含不同 職業的兩位男性與一位女性患者。由於無法早期診斷，他們存活都沒有超過五個月。我 們回顧從前發表之相關文章，在危險因子、臨床症狀、診斷策略、與相關治療這幾方面 來與我們發表的病例相比較。此外，有關最新的治療