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[胸膜间皮瘤的计算机断层扫描成像与临床预后的相关性]

[Correlation of computed tomography imaging and clinical prognosis of pleural mesothelioma].

作者信息

Zhu Huachen, Zhou Jian, Yang Rong, Zhou Nan, Lü Rui

机构信息

Department of Radiology, Affiliated Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2014 Jul 1;94(25):1970-2.

Abstract

OBJECTIVE

To explore the value of computed tomography (CT) imaging in clinical diagnosis and prognostic evaluation of pleural mesothelioma.

METHODS

The clinical data and CT features were analyzed retrospectively in 12 pathologically confirmed cases of pleural mesothelioma. And 15 relevant papers were reviewed.

RESULTS

The major clinical symptoms included chest pain, stuffiness and cough. The chest CT demonstrated diffusive pleural thickening (n = 9), local pleural thickening (n = 3), pleural thickening over 1 cm (n = 10) and concurrent pleural effusion (n = 11).

CONCLUSION

Chest CT may help to determine the location, shape, extent of pleural lesion and its relation to surrounding tissues. And it provides objective rationales for the clinical diagnosis and prognostic assessment in patients with pleural mesothelioma.

摘要

目的

探讨计算机断层扫描(CT)成像在胸膜间皮瘤临床诊断及预后评估中的价值。

方法

回顾性分析12例经病理确诊的胸膜间皮瘤患者的临床资料及CT特征,并复习15篇相关文献。

结果

主要临床症状包括胸痛、胸闷及咳嗽。胸部CT表现为弥漫性胸膜增厚(9例)、局限性胸膜增厚(3例)、胸膜增厚超过1cm(10例)及合并胸腔积液(11例)。

结论

胸部CT有助于确定胸膜病变的部位、形态、范围及其与周围组织的关系,为胸膜间皮瘤患者的临床诊断及预后评估提供客观依据。

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