Morita H, Mori J, Morimoto M, Ogata K, Katagiri S, Oshima K, Osada I, Saiki H, Fujii G, Kawahara R
Department of Thoracic Surgery Shinyamanote Hospital.
Kyobu Geka. 1992 Oct;45(11):998-1000.
We experienced malignant localized mesothelioma of which origin was visceral pleura. According to, 1) the preoperative chest X-ray and chest CT which showed extra-pleural sign, 2) the rapid tumor growth, and 3) the result from needle biopsy, we diagnosed malignant localized mesothelioma of which origin was parietal pleura. Surgical treatment was performed, and diagnosed that its origin was visceral pleura. The tumor invaded the lung. It is dangerous to diagnose by means of needle biopsy because of malignant cell implantation. We recommend that firstly the surgical treatment should be carried out for malignant mesothelioma, which needs extended resection for preventing its recurrence.
我们遇到了起源于脏层胸膜的恶性局限性间皮瘤。根据:1)术前胸部X线和胸部CT显示胸膜外征象;2)肿瘤生长迅速;3)针吸活检结果,我们诊断为起源于壁层胸膜的恶性局限性间皮瘤。进行了手术治疗,结果诊断其起源为脏层胸膜。肿瘤侵犯了肺。由于恶性细胞种植,通过针吸活检进行诊断存在风险。我们建议,对于恶性间皮瘤应首先进行手术治疗,为防止复发需要扩大切除范围。