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[胸膜间皮瘤的诊断难点]

[Diagnostic difficulties in pleural mesothelioma].

作者信息

Dubaniewicz A, Siemińska A

机构信息

Katedry i Kliniki Chorób i Płuc Gruźlicy Ak. Med. w Gdańsku Kierownik Kliniki.

出版信息

Wiad Lek. 1992 Apr;45(7-8):248-50.

PMID:1462582
Abstract

The analysis is reported of 29 case records of patients admitted in the last 25 years to the Department of Pulmonary Diseases and Tuberculosis, Medical Academy in Gdańsk with suspected pleural malignant mesothelioma. In 16 cases the diagnosis was confirmed by histological examination, and in 13 cases the diagnosis of mesothelioma was based on the whole clinical picture and cytological examination of pleural effusion. The most frequent symptoms included dyspnoea, pain, progressing weakness. In most cases signs of increasing effusion volume and sometimes also of pleural thickening were found on medical and radiological examination. The mean survival time was 5 months. The results of treatment were not satisfactory.

摘要

本文报告了过去25年中格但斯克医学院肺病与结核病科收治的29例疑似胸膜恶性间皮瘤患者的病例记录分析。16例经组织学检查确诊,13例间皮瘤诊断基于整体临床表现及胸腔积液的细胞学检查。最常见的症状包括呼吸困难、疼痛、进行性虚弱。在大多数病例中,体格检查和放射学检查发现胸腔积液量增加的体征,有时还发现胸膜增厚。平均生存时间为5个月。治疗结果并不令人满意。

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