Ndiaye M, Hane A A, Ba M, Ndir M, Ba O, Diop-dia D, Kandji M, Ndiaye S, Diatta A, Toure N O, Niang A, Dia Y, Thiam A, Dangou J M, Ndiaye M
Service de Pneumologie, CHU de Fann, BP 5435, Dakar Fann.
Rev Mal Respir. 2001 Jun;18(3):305-7.
We report two cases of localized benign pleural mesothelioma with different clinical features. Neuropsychiatric symptoms, including coma, hemiplegia, seizures and misbehavior predominated in the first case, associated with hypoglycemia. The symptoms in the second case were essentially respiratory (cough, dyspnea, and chest pain). Treatment consisted in thoracotomy and complete surgical resection. Histopathology revealed fusiform cells and collagen stroma. These two cases illustrate the diversity of clinical expression of benign localized pleural mesothelioma and confirm their complete resolution after surgical treatment.
我们报告了两例具有不同临床特征的局限性良性胸膜间皮瘤病例。第一例以神经精神症状为主,包括昏迷、偏瘫、癫痫发作和行为异常,伴有低血糖。第二例的症状主要是呼吸道症状(咳嗽、呼吸困难和胸痛)。治疗方法为开胸手术及完整的手术切除。组织病理学显示为梭形细胞和胶原基质。这两例病例说明了良性局限性胸膜间皮瘤临床表型的多样性,并证实了手术治疗后可完全治愈。