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恶性胸膜间皮瘤的诊断方法

A Diagnostic Approach to Malignant Pleural Mesothelioma.

作者信息

Aujayeb Avinash, Astoul Philippe

机构信息

Respiratory Department, Northumbria Health Care NHS Foundation Trust, Care of Gail Hewitt, Newcastle, NE23 6NZ, UK.

Department of Thoracic Oncology, Pleural Diseases and Interventional Pulmonology, North Hospital, Aix-Marseille University, Marseille, France.

出版信息

Pulm Ther. 2025 Jun 11. doi: 10.1007/s41030-025-00301-6.

DOI:10.1007/s41030-025-00301-6
PMID:40498282
Abstract

In this concise article, we give a current overview of the practical approach to diagnosing pleural mesothelioma (PM). PM is a rare, incurable, aggressive cancer almost exclusively related to previous asbestos exposure. We begin by outlining the general approach to pleural malignancy. The focus then shifts to pleural mesothelioma (PM), with discussions on cytological analyses, a direct-to-thoracoscopy approach, specialist services, and future directions. This narrative review aims to provide an updated, practical overview of current and emerging diagnostic strategies.

摘要

在这篇简明文章中,我们对胸膜间皮瘤(PM)的实际诊断方法进行了当前概述。PM是一种罕见、无法治愈且侵袭性强的癌症,几乎完全与既往石棉暴露相关。我们首先概述胸膜恶性肿瘤的一般诊断方法。然后重点转向胸膜间皮瘤(PM),讨论细胞学分析、直接胸腔镜检查方法、专科服务以及未来方向。这篇叙述性综述旨在提供关于当前和新兴诊断策略的最新实用概述。

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本文引用的文献

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The global burden of cancers attributable to occupational factors, 1990-2021.1990 - 2021年归因于职业因素的全球癌症负担
BMC Cancer. 2025 Mar 19;25(1):503. doi: 10.1186/s12885-025-13914-6.
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Potential advantage of magnetic resonance imaging in detecting thoracic wall infiltration in pleural mesothelioma: A retrospective single-center analysis.磁共振成像在检测胸膜间皮瘤胸壁浸润中的潜在优势:一项回顾性单中心分析。
JTCVS Open. 2024 Oct 22;23:318-325. doi: 10.1016/j.xjon.2024.10.012. eCollection 2025 Feb.
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Pleural procedural safety in the UK: is everyone's house in order? Reflections from the BTS National Pleural Service Organisational Audit and a national review of patient safety incidents.
英国胸膜操作的安全性:一切都井然有序吗?来自英国胸科学会国家胸膜服务组织审计及患者安全事件全国审查的思考
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Current and Future Perspective of PET/CT in Response Assessment of Malignant Pleural Mesothelioma.正电子发射断层显像/计算机断层扫描(PET/CT)在恶性胸膜间皮瘤疗效评估中的现状与未来展望
Semin Nucl Med. 2025 Mar;55(2):252-263. doi: 10.1053/j.semnuclmed.2025.02.001. Epub 2025 Feb 27.
5
Dry Medical Thoracoscopy with Artificial Pneumothorax Induction Using Veress Needle.使用韦氏针诱导人工气胸的干式医学胸腔镜检查。
Tuberc Respir Dis (Seoul). 2025 Jan;88(1):181-189. doi: 10.4046/trd.2024.0029. Epub 2024 Nov 14.
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Diagnosis of Pleural Mesothelioma: Is Everything Solved at the Present Time?胸膜间皮瘤的诊断:目前是否一切都已解决?
Curr Oncol. 2024 Aug 27;31(9):4968-4983. doi: 10.3390/curroncol31090368.
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