Tuesday, March 11, 2008
Limitations mesothelioma
Overview of the tumor, although benign, but potentially malignant or low-grade. Cause pathogenesis often starting at the visceral pleura between the pleura or leaves. Formed a round or oval-shaped lower part, gray solid nodules. Smooth surface, mild-leaf, a capsule. Size of tumor nodules ranging in diameter from a few millimeters to a few centimeters, can occupy the side of the chest. Pleural tumors contact with the broad, convex to the pleural cavity; Pedicle few short stem and pleural link the changes in body position when the mass mobile. Tumor tissue from the spindle cells and collagen fiber bundles cutting through, glass-like degeneration and calcification. Clinical manifestations of misprision of onset, early silent more often in the physical examination or X-ray examination found. Tumors can grow up there is oppression symptoms were chest pain, dry cough, shortness of breath, malaise. Pleural effusion rare. Festival of the individual patients pain, finger clubbing and hypoglycemia performance. X-ray findings of isolated spherical or hemispherical pieces of film, the density uniform, clear edge and sometimes in mildly lobulated. Clinical diagnosis and X-ray findings are not specific and easily misdiagnosed as encapsulated effusion, tuberculoma, lung, chest wall and mediastinal tumor. B ultrasound or CT-guided percutaneous biopsy or thoracoscopic biopsy under direct vision of multiple diagnostic value. Surgical resection is the treatment of the only means of treatment, remove the reference to a thorough, and it is advisable as soon as possible. As a result of the tumor, although benign, but potentially malignant or low-grade, recurrence and metastasis, can often be removed completely cured. So the prognosis is good.
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