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| 21例胸膜间皮瘤误诊原因探讨 |
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孟子敏1, 孙晓龙2, 高群3, 孟君3
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1.解放军209医院内科,黑龙江,牡丹江,157011;2.黑龙江省中医药大学第一附属医院,黑龙江,哈尔滨,150040;3.鞍钢铁西医院呼吸内科,辽宁,鞍山,114011
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| 摘要: |
| 目的:探讨21例胸膜间皮瘤的误诊原因,提高对本病的认识,减少误诊.方法:临床资料回顾性分析.结果:18例弥漫、大片及限局病变伴胸液者误诊结核性胸膜炎及胸膜炎;3例块状病变者误诊肺癌.4例经术后病理确诊;2例胸膜活检确诊;15例胸液内检出恶性细胞,结合X线确诊.结论:胸膜活检、胸液内检出恶性细胞.结合X线以胸膜为主的病变,排除身体其他部位原发瘤灶,对本病的诊断是准确的. |
| 关键词: 胸膜间皮瘤 误诊 诊断 |
| DOI：10.11724/jdmu.2002.01.14 |
| 分类号:R734.3 |
| 基金项目: |
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| The analyses of misdiagnosis reasons in 21 cases of pleural mesothelioma |
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MENG Zi-min1, SUN Xiao-long2, Gao Qun3, MENG Jun3
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1.Department of Medicine,209 Hospital of PLA,Mudanjiang,157011,China;2.Department of Medicine,the First Affiliated Hospital,Heilongjiang Chinese Medical University,Harbin 150040,China;3.Tiexi Hospital of Orion and Steel Company,Anshan 114011,China)
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| Abstract: |
| To analyze the misdiagnosis reasons in 21 cases of pleural mesothelioma,to improve the level of diagnosis of the disease and reduce misdiagnosis. Methods:A retrospective study of 21 patients. Results: Eighteen cases with diffuse and focal changes combined pleural effusion were misdiagnosed tuberculosis pleurisy and pleurisy; 3 cases presented with mass were misdiagnosed Lung cancers. Twenty-one cases were diagnosed right last, 4 cases by pathobiology, 2 cases by pleural biopsy, 15 cases by finding cancer cell from pleural effusion combinded with radiograph. Conclusions: By pleural biopsy or by finding cancer cell from pleural effusion combinded with radiograph and primary malignant disease in other area of body was excluded,pleural mesothelioma may be diagnosed right. |
| Key words: pleural mesothelioma misdiagnosis,diagnosis |