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间皮瘤

最后审阅: 21 Oct 2024
最后更新: 15 Nov 2023

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
完整详情

其他诊断因素

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

危险因素

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

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
完整详情

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
完整详情

新兴检查

  • 生物标志物

治疗流程

急症处理

可动手术的疾病

不能动手术或复发性疾病

撰稿人

作者

Idrees Mian, MD

​​Hematologist Oncologis

Kaiser Permanente

Oncology

Washington

DC

利益声明

IM declares he has no competing interests.

鸣谢

Dr Idrees Mian would like to gratefully acknowledge Dr Jaydira del Rivero, Dr Anish Thomas, Mrs Mary Hesdorffer, Dr Robert Taub, and Dr Chris R. Kelsey, the previous contributors to this topic.

利益声明

AT, JdR, MH, RT, and CRK declare that they have no competing interests.

同行评议者

Marc de Perrot, MD, MSc

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.

Nicholas J. Vogelzang, MD

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 reference cited in this topic.

Tom Treasure, MD, MS FRCS, FRCP

Professor of Cardiothoracic Surgery (Honorary)

Clinical Operational Research Unit

Department of Mathematics

University College London

London

UK

利益声明

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

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