Klawiter Anna, Damaszke Tomasz
Department of Radiology and Imaging Diagnostics, F. Ceynowa Specialist Hospital, Wejherowo, Poland.
Pol J Radiol. 2010 Oct;75(4):61-3.
Pleural mesothelioma is a very rare neoplasm; especially the local form. The diagnostics is difficult and the prognosis unfavourable.
We presented a case of a man with dyspnoea and cough. His chest radiogram showed hydrothorax on the left side. Neither the examinations of the pleural liquid, nor the CT-guided fine needle biopsy established the diagnosis. CT showed features suggestive of pleural mesothelioma. The diagnosis was confirmed by thoracoscopy. Although no neoplastic cells were found in the thoracoscopic specimen from the supradiaphragmatic tumor, we assumed that to be a case of a diffuse, primarily local form of mesothelioma.
Diagnostics of pleural mesothelioma is very difficult. CT and thoracoscopy seem to be very valuable diagnostic methods. It is worth remembering that pleural mesothelioma can have a local form which may transform into a diffuse one.
胸膜间皮瘤是一种非常罕见的肿瘤，尤其是局部型。诊断困难，预后不佳。
我们报告了一例有呼吸困难和咳嗽症状的男性病例。他的胸部X光片显示左侧胸腔积液。胸腔积液检查及CT引导下细针穿刺活检均未确诊。CT表现提示胸膜间皮瘤。经胸腔镜检查确诊。尽管在膈肌上肿瘤的胸腔镜标本中未发现肿瘤细胞，但我们认为这是一例弥漫性、主要为局部型的间皮瘤病例。
胸膜间皮瘤的诊断非常困难。CT和胸腔镜似乎是非常有价值的诊断方法。值得记住的是，胸膜间皮瘤可以有局部型，且可能转变为弥漫型。
