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心包间皮瘤是一甚为少见的疾病,我们于1998年遇见1例并经手术病理证实.现报告如下.患者男,18岁,缘胸闷、心悸10个月,加重1周入院.患者于1997年7月,因胸闷、气短、心悸于当地医院诊断不明转来我院.查体:神清,气促,不能平卧,浮肿貌.颈静脉怒张.双肺可闻及少量干湿啰音.心浊音界向左扩大,心率90次/分,律齐未闻及明显杂音.腹软,肝脾触不清.经CT及超声波检查诊为心包囊肿,少量胸水.后患者到中国医科大学附院就诊,经手术及病理证实为左室壁恶性心包间皮瘤,并切除部分心包.术后康复较好,继续上学半年.近数日来病情复发,又来我院检查:MRI示沿心包壁可见斑片状团块状异常信号强度病变,T_1呈等或略高信号,T_2为不均匀高信号病变侵及范围较广,整个心包均受累,心包壁显
Pericardial mesothelioma is a very rare disease, we met in 1998 and confirmed by a surgical pathology are reported as follows. Male patient, 18 years old, edge of chest tightness, palpitations 10 months, increased 1 week admission. Patients in July 1997, due to chest tightness, shortness of breath, palpitations in the local hospital diagnosis is unknown to our hospital. Physical examination: Shen Qing, shortness of breath, can not lie down, edema appearance. Jugular vein distention. The lungs can smell a small amount of wet and dry Auscultation of the voiced speech to the left to expand, heart rate 90 beats / min, law Qi unknown and obvious noise. Abdominal soft, liver and spleen touch unclear by CT and ultrasound examination for pericardial cysts, a small amount of pleural effusion .Through the patients to China Affiliated Hospital of Medical University, confirmed by surgery and pathology for the left ventricular wall of malignant pericardial mesothelioma, and removal of part of the pericardium .Postoperative recovery is good, continue to school for six months. In recent days the disease recurrence, but also to our hospital examination: MRI Showed along the pericardium can be seen patchy clumps abnormal signal intensity lesions, T_1 was equal or slightly higher signal, T_2 is uneven high signal lesions invaded a wide range of the entire pericardium are involved, pericardial wall was significantly