Guzelian J, Drevet D, Faysse E, Penet A, Champion M, Joffre P
Service de Radiologie, Clinique E. André, Lyon.
J Radiol. 1996 Jul;77(7):497-501.
Peritoneal invasion by a malignant mesothelioma is less frequently encountered than pleural localization. We report a case of a double pleural and peritoneal localization. CT and MR may be suggestive, especially when pulmonary asbestosis is associated, but pathology (fine needle aspiration or surgical biopsy) is necessary to assess the diagnosis. When possible surgery is performed, with or without associated radiotherapy. Prognosis is nevertheless very poor.
恶性间皮瘤侵犯腹膜的情况比胸膜受累少见。我们报告一例同时出现双侧胸膜和腹膜受累的病例。CT和MR可能具有提示作用,尤其是在合并肺石棉沉着病时,但诊断仍需病理学检查(细针穿刺或手术活检)。若有可能,需进行手术,可联合或不联合放疗。然而,预后非常差。