Jul 21, 2008

Pleural mesothelioma

Pleural mesothelioma is pleural primary tumor, there are limitations of (mostly benign) and diffuse (all malignant)
Points. Which diffuse malignant mesothelioma to the chest tumor one of the worst prognosis. Most of the patients in the 40-70 age group who are
Among men than women.

The first symptoms of chest pain, coughing and shortness of breath was the most common. Have a fever, sweating or joint pain symptoms mainly v.
Persons. About half of patients over a large number of pleural effusion with severe shortness of breath. No large pleural effusion, chest pain often more drama
Ranariddh, weight loss common. Ordinary X-ray found that pleural effusion, and lung tumor was wrapped, late
Case period may have caused the hearts of cardiac exudate video to expand and soft tissue damage, such as video and ribs.

For suspicious of malignant pleural mesothelioma patients, CT check the most useful. Hydrothorax cytology also help attendance
Off. Routine laboratory tests, some patients may have more platelets, serum carcinoembryonic antigen (CEA) increased
And so on. For routine examination not clear diagnosis can be done pleural thoracoscopic biopsy. General most patients can
This was the diagnosis.

The treatment of malignant pleural mesothelioma, is still no effective cure methods. Treatment, a palliative
Treatment, surgical treatment, chemotherapy and radiation treatment, the tumor is generally believed that the relative limitations of the Phase I
, So radical that the pleural pneumonectomy. For Ⅱ, Ⅲ, Ⅳ of patients, radical surgery has no significance
, The only purposes of palliative surgery. In fact, most of the patients to the disease diagnosis, is in Phase II to
On. The rapid growth in patients with pleural effusion often leads to serious breathing difficulties, palliative surgery to improve their night
Of the patient's quality of life of great significance. Thoracic into the past use of chemotherapy drugs, such as pleural effusion or dissipated to pleural
Adhesions blocking the way often to be ineffective.

Peritoneal mesothelioma
Peritoneal mesothelioma is the primary peritoneal mesothelial cells in the tumor. Clinical performance is not characteristic, common symptoms
And signs are: abdominal pain, ascites, abdominal distention and abdominal mass, and so on. Peritoneal mesothelioma about all cases of mesothelioma
20 percent, occurred in 2-92 years old, the average age is 54 years, of which about 63 percent of the cases in the 45 --
Between the 64-year-old, the sick child rare.
Clinical performance
1. Abdominal pain, abdominal distention, ascites, abdominal mass, 2. Anorexia, nausea, vomiting, diarrhea, constipation, 3. Sluggish
Fever, weight loss, anemia, 4. Hypoglycemia, diffuse abdominal ossification, 5. If the merger other parts of peritoneal mesothelioma
Mesothelioma, the transfer of other organs and complications of corresponding performance.

Diagnosis
1. Abdominal pain, abdominal distention, ascites, abdominal mass of patients, in particular, have a history of exposure to asbestos, 2. Imaging examination peritoneal
A thin sheet of tumor signs and ascites, 3. Exfoliative cytology ascites, 4. Peritoneal biopsy, laparoscopy and laparotomy
From the Organization for exploration and pathological examination can be confirmed.

Peritoneal mesothelioma originated in the epithelium and peritoneal mesothelial organizations, to asbestos dust pathogenic substances, some of the virus may also
The reason is the cause mesothelioma. Peritoneal mesothelioma pathology can be divided into: adenomatoid tumors, cystic mesothelioma and malignant
Paper: Three. Peritoneal mesothelioma clinical manifestations are not specific, the inspection positive rate is not high, specificity is not strong,
Clinical diagnosis very difficult. With laparoscopy, ultrasound and CT-guided biopsy technology and the development of
Pathology, immunohistochemistry and electron microscopy raising the level of diagnosis, an increasing number of cases received during his lifetime or that of the former
It's pathology. Peritoneal mesothelioma mainly with tuberculosis peritonitis, intra-abdominal cancer metastasis, the other in the abdomen
Film omentum identification of the tumor.

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