Cardinale Luciano, Ardissone Francesco, Gned Dario, Sverzellati Nicola, Piacibello Edoardo, Veltri Andrea
Department of Radiology, S. Luigi Hospital, University of Turin, Turin, Italy.
Acta Biomed. 2017 Aug 23;88(2):134-142. doi: 10.23750/abm.v88i2.5558.
Malignant pleural mesothelioma is the most frequent primary neoplasm of the pleura and its incidence is still increasing.This tumor has a strong association with exposure to occupational or environmental asbestos, often after a long latent period of 30-40 years.Plain chest radiography (CXR) is usually the first-line radiologic examination, but the radiographic findings are nonspecific due to its limited contrast resolution and they need to be complemented by other imaging modalities such as computed tomography (CT), magnetic resonance Imaging (MRI), Positron emission tomography-computed tomography (PET-CT) and ultrasound (US).The aim of this paper is to describe the imaging features of this malignancy, underlining the peculiarity of CXR, CT, MRI, PET-CT and US and also focusing on diagnostic workup, based on the literature evidence and according to our experience.
恶性胸膜间皮瘤是最常见的胸膜原发性肿瘤，其发病率仍在上升。这种肿瘤与职业性或环境性石棉暴露密切相关，通常在长达30 - 40年的潜伏期后发病。胸部X线平片（CXR）通常是一线影像学检查，但由于其对比度分辨率有限，X线表现不具特异性，需要通过其他成像方式如计算机断层扫描（CT）、磁共振成像（MRI）、正电子发射断层扫描 - 计算机断层扫描（PET - CT）和超声（US）进行补充。本文旨在描述这种恶性肿瘤的影像学特征，强调CXR、CT、MRI、PET - CT和US的特点，并根据文献证据和我们的经验着重介绍诊断检查方法。
