Grabenwöger F, Bardach G, Pinterits F, Dock W
Rontgenblatter. 1986 Jun;39(6):167-72.
This study represents the examination of 14 primary, malignant pleural tumours--10 mesotheliomas and 4 sarcomas--in respect of the radiological appearance and clinical signs and symptoms. The presentation was widely different in the mesothelioma patients: 3 presented the radiological image of a mantle-like apicocaudal callosity. In 3 patients and extrapulmonary space-occupying growth was seen; one case presented with an interlobar effusion. Pleural effusion was additionally present in 6 cases. Of the 4 sarcoma patients, 3 presented with an intrapulmonary space-occupying growth and one only with an extrapulmonary lesion. Pleural effusion was definitely seen in 2 patients with pleural sarcoma. Therapy-resistant refractory thoracic pain was the principal clinical sign. Other symptoms were not so frequent, such as loss of body weight, tiredness, dyspnoea, hemoptysis and cough.
本研究对14例原发性恶性胸膜肿瘤——10例间皮瘤和4例肉瘤——的放射学表现以及临床体征和症状进行了检查。间皮瘤患者的表现差异很大：3例呈现出披巾状从头到尾的胼胝的放射学影像。3例患者可见肺外占位性生长；1例表现为叶间积液。另有6例存在胸腔积液。4例肉瘤患者中，3例呈现肺内占位性生长，1例仅表现为肺外病变。2例胸膜肉瘤患者肯定存在胸腔积液。治疗抵抗的难治性胸痛是主要临床体征。其他症状则不那么常见，如体重减轻、疲倦、呼吸困难、咯血和咳嗽。
