12例胸膜间皮瘤CT诊断分析

• 作 者: 刘彬
• 机 构: 铁岭市中心医院,
• 出 处: 中国医疗前沿
• 发表日期: 2008年21期
• 关键词: 胸膜间皮瘤 胸膜间皮细胞 性胸腔积液 细胞学检查 诊断 原发肿瘤 间质组织 穿刺活检 病人 内肿瘤 弥漫型 局限型 胸水 女性 男性 临床 良性 鉴别 感染

胸膜间皮瘤是胸膜原发肿瘤,来自胸膜间皮细胞或胸膜下间质组织,分为局限型(多为良性)和弥漫型(都为恶性)。大多数病人在40-70之间,男性多于女性。临床上与肺内肿瘤、感染性胸腔积液难以鉴别。对于可疑该病的病人,CT检查最为常用,胸水的细胞学检查也有助于诊断,对于常规不能明确者,可用胸膜穿刺活检而获得诊断。

Pleural mesothelioma is a primary pleural tumor derived from pleural mesothelial cells or subpleural interstitial tissue, divided into localized (mostly benign) and diffuse (both malignant). Most patients are between 40-70 and more males than females. Clinical and intrapulmonary tumors, infectious pleural effusion is difficult to identify. For patients suspected of the disease, the most common CT examination, pleural fluid cytology also contribute to the diagnosis, for those who can not be routinely routine, pleural biopsy can be diagnosed.