Jul 21, 2008

Peritoneal malignant mesothelioma

1. History questions

The unknown causes abdominal pain, abdominal distention and gastrointestinal disorders, abdominal pain can be expressed as diversification, but the persistence of abdominal pain is common characteristics. The high incidence of ascites, in more than 90 percent, in a short period of abdominal pain can be a long period, the sudden appearance of ascites, but ascites may also appear in the early days alone. The amount of ascites and stubborn. In general the situation changes very little longer period of time, to maintain appetite, weight loss was not obvious, no fever, can sometimes occur spontaneously hypoglycemia. Can be accompanied by chest pain, breathing difficulties, cough and other symptoms of pleural mesothelioma.

2. Medical examination found

Peng Long abdomen, or a frog belly, mobility Zhuoyin positive abdominal palpation can reach sizes ranging from single or multiple tumors, the general tenderness was not obvious. As with pleural mesothelioma, pleural effusion can be found that the positive signs.

3. Laboratory

B-ultrasound and CT, can be found thin sheet mass images and ascites. Ascites for effusion, but also for the courage and uprightness. Ascites in hyaluronic acid such as increased to 120 ug / ml, the diagnosis helpful. Ascites find new biological diagnosis of mesothelioma cells, but also the middle of ascites skin cell chromosome analysis, contribute to the diagnosis. Laparoscopic found that the surface peritoneal nodules and plaques, biopsy pathological examination to confirm the diagnosis. Should pay attention to tuberculosis and peritonitis, peritoneal metastasis of identification.

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