Gavelli G, Zompatori M, Bernasconi A, Galleri C, Canini R
Radiol Med. 1984 Nov;70(11):830-6.
The authors summarize clinical findings and radiological aspects of pleural malignant mesothelioma. This tumor, previously uncommon, is now observed with increasing frequency in developed countries (pathogenetic relationship with asbestos fibers inhalation is proved). Common and uncommon findings are described and 8 new cases are presented. Differential diagnosis between malignant mesothelioma and other primary or secondary pleural tumors is difficult and always requires a confirmation by multiple biopsies and/or thoracotomy. The usefulness of CT study in the accurate staging of mesothelioma is particularly emphasized. In this field CT may completely replace the conventional tomography.
作者总结了胸膜恶性间皮瘤的临床发现和放射学特征。这种肿瘤以前并不常见,现在在发达国家的发病率日益增加(已证实与吸入石棉纤维存在病因学关系)。文中描述了常见和不常见的发现,并展示了8个新病例。恶性间皮瘤与其他原发性或继发性胸膜肿瘤的鉴别诊断很困难,总是需要通过多次活检和/或开胸手术来确诊。特别强调了CT检查在间皮瘤准确分期中的作用。在这方面,CT可以完全取代传统的体层摄影。