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Pleural mesothelioma is pleural primary tumorthere are limitations of (mostly benign) and diffuse (all malignant) points. Which diffuse malignant mesothelioma to the chest tumor one of the worst prognosis. Most of the patients in the 40-70 age group, men more than women. The first symptoms of chest pain, coughing and shortness of breath was the most common. Have a fever, sweating or joint pain mainly v. symptoms. About half of patients over a large number of pleural effusion with severe shortness of breath. No large pleural effusion, often even more chest pain, weight loss common. Ordinary X-ray found that pleural effusion, and lung tumor was wrapped, and so on, have advanced cases can cause the heart pericardium exudate video to expand and soft tissue damage, such as video and ribs. For suspicious of malignant pleural mesothelioma patients, CT check the most useful. Hydrothorax cytology also contribute to the diagnosis.
Routine laboratory tests, some patients may have more platelets, serum carcinoembryonic antigen (CEA), such as elevated. For routine examination not clear diagnosis can be done pleural thoracoscopic biopsy. General most patients can have access diagnosis.
The treatment of malignant pleural mesothelioma, is still no effective cure methods. Treatment, a palliative treatment, surgical treatment, chemotherapy and radiation treatment, the tumor is generally believed that the relative limitations of the stage I patients, so radical that the pleural pneumonectomy. For Ⅱ, Ⅲ, Ⅳ of patients, radical surgery has no meaning, only the purposes of palliative surgery. In fact, most of the patients to the disease diagnosis, is in Phase II above. The rapid growth in patients with pleural effusion often leads to serious breathing difficulties, palliative surgery for advanced patients improve their quality of life of great significance. Thoracic into the past use of chemotherapy drugs, such as pleural effusion or dissipated to pleural adhesions blocking the way often to be ineffective. I used Thoracoscopic by pleural fixation, in malignant pleural mesothelioma palliative treatment have achieved good results, thoracoscopic surgery will be thoroughly clean hydrothorax aspiration and fully separated adhesion so that the rehabilitation of the lung, and then injected into Disinfection talc, pleurodesis, control of a pleural effusion, ease patients with advanced cancer of the clinical symptoms. We made simple talcum powder spray device, a convenient and practical, effective, and other characteristics of spraying, has been widely used by domestic counterparts, combined with our years of experience-assisted thoracic surgery, I Branch in the treatment of malignant pleural mesothelioma has reached a Domestic and international advanced level. |
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1. History questions |
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Date: 2007-02-22 18:28:46
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The unknown causes abdominal pain, abdominal distention and gastrointestinal disorders, abdominal pain can be expressed as diversification, but the persistence of abdominal pain is common characteristics. The high incidence of ascites, in more than 90 percent, in a short period of abdominal pain can be a long period, the sudden appearance of ascites, but ascites may also appear in the early days alone. The amount of ascites and stubborn. In general the situation changes very little longer period of time, to maintain appetite, weight loss was not obvious, no fever, can sometimes occur spontaneously hypoglycemia. Can be accompanied by chest pain, breathing difficulties, cough and other symptoms of pleural mesothelioma. |
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2. Medical examination found |
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Date: 2007-02-22 18:28:46
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Peng Long abdomen, or a frog belly, mobility Zhuoyin positive abdominal palpation can reach sizes ranging from single or multiple tumors, the general tenderness was not obvious. As with pleural mesothelioma, pleural effusion can be found that the positive signs. |
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