Wechsler R J, Rao V M, Steiner R M
Crit Rev Diagn Imaging. 1984;20(4):283-310.
Formerly considered to be rare, primary malignant mesothelioma of the pleura has become a frequently diagnosed tumor during the last 30 years because of a more specific diagnostic criteria and because of its relationship with asbestos exposure. The radiologic findings associated with malignant mesothelioma of the pleura are not patho- neumonic but are characteristic and include a unilateral pleural effusion, unilateral pleural thickening, rib destruction and infra diaphragmatic spread, pulmonary nodules and masses and in distant metastases. These findings are in addition to the associated changes related to asbestos exposure. A review of the clinical records and radiographs of 26 patients with proven malignant mesothelioma studied at our institution serves as the basis for this review. The differential diagnosis radiologic findings and the relationship between these changes and the pathology clinical picture and the prognosis in this important disease entity is discussed.
胸膜原发性恶性间皮瘤曾被认为较为罕见，但在过去30年里，由于诊断标准更为具体以及它与石棉接触的关系，已成为一种常被诊断出的肿瘤。与胸膜恶性间皮瘤相关的放射学表现并非具有病理特异性，但具有特征性，包括单侧胸腔积液、单侧胸膜增厚、肋骨破坏及膈下扩散、肺结节和肿块以及远处转移。这些表现还伴有与石棉接触相关的改变。回顾我们机构研究的26例经证实的恶性间皮瘤患者的临床记录和X线片，作为本综述的基础。本文讨论了鉴别诊断的放射学表现，以及这些改变与这一重要疾病实体的病理、临床情况和预后之间的关系。
