Localized mesothelioma
By admin • Oct 19th, 2008 • Category: MosotheliomeOverview
The tumor, although benign, but potentially malignant or low-grade.
Diagnosis
X-ray and clinical performance of the lack of specific, easily misdiagnosed as encapsulated fluid, the ball tuberculosis, lung cancer, chest wall and mediastinal tumor, and so on. In the ultra-B or CT-guided percutaneous biopsy, or in the open under a number of thoracoscopic biopsy has confirmed the value.
Treatment
Surgical excision as the only means of treatment, the scope of removal in order to complete, as soon as possible and appropriate.As a result of the tumor, although benign, but potentially malignant or low-grade, recurrence, transfer, often can be cured completely removed. Therefore a good prognosis.
Pathological changes
Often starting from visceral or pleural between the pleural leaves. Mostly round or oval sallow solid nodules. Smooth, mild sub-leaves, there is coated. The size of the tumor nodules ranging in diameter from a few millimeters to a few centimeters, can take the side of the chest. Pleural tumor with wide contacts, convex to the pleural cavity; there is a small number of pedicle-like stem and short-connected pleura, the change in the position when the movable mass. By the spindle cell tumor and collagen fibers woven together, change can occur and the glass-like calcification.
Clinical
Occult onset, the more the early symptoms, often in the physical examination or X-ray examination found.When the tumor grew up to have symptoms of oppression, were dull pain in the chest, dry cough, shortness of breath, fatigue and so on. Pleural effusion rare.Individual patients with the relevant section of pain, clubbed fingers and low blood sugar. X-ray showed isolated spherical or hemispherical mass, density, the edge clearly visible at times mildly lobulated.
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