Analysis of the clinical diagnosis of asbestosis complicated with malignant mesothelioma.
- Author:
Yan LIANG
1
;
Yan WANG
1
;
Songquan ZHANG
1
;
Juan LIU
1
;
Yanxia CHEN
2
;
E-mail: CHENYXQD@126.COM.
Author Information
- Publication Type:Journal Article
- MeSH: Abdominal Pain; Asbestosis; complications; diagnosis; Back Pain; Biopsy; Diagnostic Errors; Humans; Lung Neoplasms; complications; diagnosis; Mesothelioma; complications; diagnosis; Peritoneal Neoplasms; Pleural Neoplasms; Prognosis; Retrospective Studies; Tuberculosis, Pleural
- From: Chinese Journal of Industrial Hygiene and Occupational Diseases 2015;33(5):380-382
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the clinical characteristics, diagnosis and treatment of the clinical characteristics and prognosis of asbestosis complicated with malignant mesothelioma patients.
METHODSIn 3 cases of asbestosis complicated with malignant mesothelioma were retrospectively analyzed.
RESULTSIn 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.
CONCLUSIONThe 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.