最近审阅: 25 十月 2020
最近更新: 22 五月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 家族史
  • 石棉接触史
  • 60~85 岁
  • 呼吸短促
  • 呼吸音减弱
  • 叩诊浊音

其他诊断因素

  • 男性
  • 胸痛
  • 咳嗽
  • 全身性症状
  • 腹胀和/或腹痛

危险因素

  • 石棉暴露
  • 房屋维修和改造期间的石棉接触
  • 60~85 岁
  • 男性
  • 放射暴露
  • 遗传易感性
  • 猿猴病毒 40 (SV-40)

诊断性检查

首要检查

  • 胸部 X 线检查
  • 胸部和上腹部增强 CT 扫描
更多 首要检查

需考虑的检查

  • 胸腔穿刺术
  • 胸膜活检
  • 电视辅助胸腔镜手术 (VATS)
  • 免疫组织化学检查
  • 胸部 MRI
  • PET 扫描
  • 颈部纵隔镜检查
  • 肺功能检查 (PFT)
  • 全血细胞计数 (FBC)
  • 基础代谢检查
更多 需考虑的检查

治疗流程

撰稿人

Staff Clinician

Center for Cancer Research

Thoracic and Gastrointestinal Oncology Branch

National Cancer Institute

Bethesda

MD

利益声明

AT declares that he has no competing interests.

Medical Oncology Branch

Center for Cancer Research

National Cancer Institute

Bethesda

MD

利益声明

JdR declares that he has no competing interests.

Nurse Practitioner

Executive Director

Mesothelioma Applied Research Foundation

Alexandria

VA

利益声明

MH declares that she has no competing interests.

Dr Anish Thomas, Dr Jaydira del Rivero, and Mrs Mary Hesdorffer would like to gratefully acknowledge Dr Robert Taub and Dr Chris R. Kelsey, the previous contributors to this topic. RT and CRK declare that they have no competing interests.

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Associate Professor of Surgery

University of Toronto

Division of Thoracic Surgery

Toronto General Hospital

Ontario

Canada

利益声明

MdP is an author of a reference cited in this topic.

Chair and Medical Director

Developmental Therapeutics

Co-Chair

GU Committee

US Oncology Research

Comprehensive Cancer Centers of Nevada

Las Vegas

NV

利益声明

NJV is a past chair of a US-based mesothelioma foundation. NJV is an author of a number of references cited in this topic.

Professor of Cardiothoracic Surgery (Honorary)

Clinical Operational Research Unit

Department of Mathematics

University College London

London

UK

利益声明

TT declares that he has no competing interests.

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