Matsuoka Katsunari
Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji, Hyogo, Japan.
Ann Thorac Cardiovasc Surg. 2014;20 Suppl:513-6. doi: 10.5761/atcs.cr.13-00086. Epub 2013 Oct 3.
Five months after the treatment for acute empyema, a 75-year-old woman was referred to our hospital because of marked elevation of the white blood cell (WBC) count and C-reactive protein (CRP) level, and a right pleural mass detected by chest computed tomography. At this time, the WBC count and CRP level had increased to 60400/microl and 18.2 mg/dl, respectively. We performed biopsy and the tumor was diagnosed as sarcomatoid malignant pleural mesothelioma. Malignant pleural mesothelioma occasionally presents the symptoms and findings like an acute empyema. We demonstrated the case of malignant pleural mesothelioma which had presented the symptoms and laboratory findings very similar to acute empyema and had treated as acute empyema.
在急性脓胸治疗五个月后，一名75岁女性因白细胞（WBC）计数和C反应蛋白（CRP）水平显著升高，以及胸部计算机断层扫描检测到右胸膜肿块而被转诊至我院。此时，WBC计数和CRP水平分别升至60400/微升和18.2毫克/分升。我们进行了活检，肿瘤被诊断为肉瘤样恶性胸膜间皮瘤。恶性胸膜间皮瘤偶尔会表现出类似急性脓胸的症状和体征。我们展示了一例恶性胸膜间皮瘤病例，该病例表现出与急性脓胸非常相似的症状和实验室检查结果，并被当作急性脓胸进行了治疗。
