恶性胸膜间铭皮瘤英语读片.pptxVIP

English Reading Jiang Shengping;New words;malignant [m?‘l?gn?nt]恶性的 Mesothelioma [m?zo,θil?om?]间皮瘤 neoplasm [‘niopl?zm]新生物，赘生物 pericardium [,p?r?‘kɑrd??m]心包，心包膜 peritoneum [,p?r?t?‘n??m]腹膜 dyspnea [d?sp‘ni?]呼吸困难 invade [?n‘ved]侵袭，侵扰 visceral [‘v?s?r?l]内脏的，出于本能的 Parietal [p?‘ra??tl]腔壁的，颅顶骨的 adjacent[?‘d?esnt]邻近的，毗邻的;Figure 1. Pleural effusion in a 70-year-old man with a history of asbestos exposure. Axial contrast material–enhanced CT scans obtained at different levels show unilateral pleural effusion (P) with extensive calcified pleural plaques (arrows).;Figure 2. Pleural thickening in a 51-year-oldman. Axial contrast-enhanced CTscan shows circumferential and nodular left sidedpleural thickening (arrows). The tumorencases the contracted left hemithorax, having arindlike appearance;Figure 3.Interlobar fissure involvementin an 82-year-old man and ahistory of pleurodesis. Axial nonenhancedCT scan shows right-sided pleural thickeningand a pleural mass that extends into theright major fissure (arrows);How about your diagnosis; Malignant pleural mesothelioma (MPM) is an uncommon neoplasm that arises from the pleura or, rarely, the pericardium or peritoneum. The majority of which are associated with prior asbestos exposure .; Patients frequently present with dyspnea, chest pain, cough, and weight loss. The tumor can invade both visceral and parietal pleura and frequently extends to adjacent structures.The prognosis is poor, with a median survival time of 12 months after diagnosis . ;CT is the primary imaging modality used for the evaluation of MPM. Key CT findings that suggest MPM include： Unilateral pleural effusion Nodular pleural thickening and interlobar fissure thickening Growth typically leads to tumoral encasement of the lung with a rindlike appearance Calcified pleural plaques are found at CT in approximately 20% of patients with MPM and may become engulfed by the primary tumor, causing the tumor to mimic calcified MPM;