Hermann Jacek, Bajko Grzegorz, Stajgis Marek, Szmeja Jacek, Kościński Tomasz, Drews Michał
Department of General, Gastrointestinal and Endocrinological Surgery, Poznan University of Medical Sciences, Poznań, Poland.
Contemp Oncol (Pozn). 2012;16(6):596-9. doi: 10.5114/wo.2012.32498. Epub 2013 Jan 4.
The authors present a patient suffering from malignant peritoneal mesothelioma. Differential diagnosis has become the major concern in the fatally ill patient. Pain, increasing abdominal girth, anorexia and weight loss, and recurrent ascites are the most frequent presenting symptoms. In this patient, fever of unknown origin was a clinical mask of mesothelioma. The diagnostic process was focused on infections and collagen-vascular diseases since they are the most common causes of the systemic inflammatory response syndrome. However, persistent pyrexia can also occur, less frequently, in the course of any malignant disease.
作者介绍了一名患有恶性腹膜间皮瘤的患者。鉴别诊断已成为这位重症患者的主要关注点。疼痛、腹围增加、厌食和体重减轻以及反复出现腹水是最常见的首发症状。在该患者中，不明原因发热是间皮瘤的一种临床表象。诊断过程聚焦于感染和胶原血管疾病，因为它们是全身炎症反应综合征最常见的病因。然而，持续发热在任何恶性疾病过程中也可能较少出现。
