Fujita Kohei, Kim Young Hak, Nakatani Koichi, Mio Tadashi
Division of Respiratory Medicine, National Hospital Organisation Kyoto Medical Centre Kyoto, Japan.
Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University Kyoto, Japan.
Clin Case Rep. 2015 Oct;3(10):875-8. doi: 10.1002/ccr3.371. Epub 2015 Sep 7.
Refractory empyema occasionally reflects hidden malignant disease. We presented a rare case of rapidly progressive malignant mesothelioma of the pleura (MPM) mimicking empyema. Physicians should be aware of MPM when patients with empyema are refractory to the standard treatment, and PET-CT may be helpful in establishing a precise diagnosis in such cases.
难治性脓胸偶尔提示隐匿性恶性疾病。我们报告了1例罕见的快速进展性胸膜恶性间皮瘤(MPM),其临床表现酷似脓胸。当脓胸患者对标准治疗无效时,医生应警惕MPM的可能,而PET-CT有助于此类病例的确切诊断。