Mesothelioma

on Tuesday, April 15, 2014

  
 Mesothelioma



Mesothelioma , there are two, one . Pleural mesothelioma is pleural primary tumor , and there is an interpreter (mostly benign) and diffuse ( all malignant ) points . That malignant mesothelioma is prevalent worse prognosis breast tumors . Most patients are between the ages of 40-70 , more men than women . 2 peritoneal mesothelioma is a primary peritoneal epithelial cells in the tumor . With characteristic clinical features , and the signs and symptoms are common and include : abdominal pain , ascites , flatulence and abdominal mass , and so on . Accounts peritoneal mesothelioma for about 20 % of all cases of mesothelioma , it can happen in 2-92 years , mean age 54 years , of which about 63 % of cases in the 45-64 years of age, and children are rarely sick.
Pleural mesothelioma
The first symptoms of chest pain , cough , and shortness of breath most common . You have a fever , sweating or joint pain , mainly against the symptoms. It was nearly half of the patients with large pleural effusion severe shortness of breath . No large pleural effusion often chest pain more severe , and the weight loss is common. Results regular X-ray of a pleural effusion , and lung tumor tissue -wrapped and others, in advanced cases, pericardial effusion may be caused by cardiac hypertrophy shade and soft tissue and destroy the movement. For patients with suspected mesothelioma malignant pleural , CT examination is the most useful . Pleural effusion cytology also help diagnosis. Routine laboratory tests , it may be some patients who have thrombocytosis , serum carcinoembryonic (CEA) antigen level rise . Routine screening can not confirm the diagnosis , can be used thoracic pleural biopsy . Most patients can therefore be amenable to diagnosis .
The treatment of pleural mesothelioma malignant , there is still no effective treatment . Methods of treatment , and there are palliative treatment , surgical treatment , chemotherapy and radiation therapy is generally believed that the tumor is relatively limited stage I patients , and defenders do pleural pneumonectomy radical . 's Ⅱ, Ⅲ, Ⅳ stage patients , radical surgery has no meaning , only the implementation of palliative surgery . In fact, the vast majority of patients who are diagnosed with the disease when he was in the second stage above. The rapid growth in patients with pleural effusion often leads to severe breathing difficulties , so palliative surgery to improve the quality of life for these patients with advanced importance .
Peritoneal mesothelioma
Brief Introduction
Peritoneal mesothelioma is a primary peritoneal epithelial cells in the tumor . With characteristic clinical features , and the signs and symptoms are common and include : abdominal pain , ascites , flatulence and abdominal mass , and so on . Accounts peritoneal mesothelioma for about 20 % of all cases of mesothelioma , it can happen in 2-92 years , mean age 54 years , of which about 63 % of cases in the 45-64 years of age, and children are rarely sick.
Clinical
1 abdominal pain , bloating , and hydrocephalus , and mass in the abdomen 0.2 loss of appetite , nausea , vomiting , diarrhea , constipation ; 3 fatigue , fever , weight loss , anemia 0.4 shortage of sugar in the blood, the pride of the abdomen is widespread ; . 5 along with other parts of mesothelioma , peritoneal mesothelioma as organ transplants and other complications of the performance of the interview.
The diagnosis is based on
1 abdominal pain , bloating , and hydrocephalus , and mass in the abdomen of patients , especially with a history of asbestos exposure 0.2 imaging signs of peritoneal ascites tumor chips ; 3 ascites cytology ; 4 peritoneal biopsy , and laparoscopy . Can be sure of the abdomen and remove tissue for pathological examination .
Peritoneal mesothelioma originated in the peritoneal epithelium and the epithelial tissue , asbestos dust and causing substances , some of the virus can also be caused by a cause of mesothelioma. Can be divided peritoneal mesothelioma in pathology : adenomatoid tumor , mesothelioma and malignant mesothelioma fibrosis three . The clinical manifestations of peritoneal mesothelioma are not specific , and the rate of positive test relevant is not high , and privacy is not strong, and the clinical diagnosis very difficult. With laparoscopy , ultrasound and CT guided biopsy technology to implement , as well as pathology , immunohistochemistry and electron microscopy diagnostic criteria to improve , more and more cases are clearly alive or preoperative diagnosis of patients . Peritoneal mesothelioma mainly with peritonitis , intra-abdominal metastases tuberculous , and other primary peritoneal tumor omental determine the stage.

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