Analysis of the clinical diagnosis of asbestosis complicated with malignant mesothelioma
Liang, Y.; Wang, Y.; Zhang, S.; Liu, J.; Chen, Y.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 33(5): 380-382
2015
ISSN/ISBN: 1001-9391 PMID: 26653237 Document Number: 681897
To discuss the clinical characteristics, diagnosis and treatment of the clinical characteristics and prognosis of asbestosis complicated with malignant mesothelioma patients. In 3 cases of asbestosis complicated with malignant mesothelioma were retrospectively analyzed. In the 3 patients, 2 cases of pleural mesothelioma, with chest tightness, chest and back pain as initial symptom; 1 case of peritoneal mesothelioma, with abdominal distention, abdominal pain, dysuria as initial symptom. One case of the pleural mesothelioma misdiagnosed as tuberculous pleurisy. 3 patients were in CT or B ultrasound guided biopsy pathology confirmed to be malignant mesothelioma. 2 patients received systemic chemotherapy, another received symptomatic and supportive treatment. Up till now, 3 patients have died. The disease is a high degree of malignant, the early clinical manifestations are not specific, easily missed diagnosis and misdiagnosis. The treatment effect is not ideal, the prognosis is poor. Biopsy is a reliable method for diagnosis of MM.