恶性腹膜间皮瘤十例的诊治分析  

Malignant peritoneal mesothelioma:a case report

作　　者：肖开银[1] 黎乐群[1] 彭民浩[1] 陈滨[1] 尚丽明[1] 

机构地区：[1]广西医科大学第一附属医院肝胆外科,南宁530021

出　　处：《中华普通外科杂志》2004年第9期545-546,共2页Chinese Journal of General Surgery

摘　　要：目的总结恶性腹膜间皮瘤的诊治经验 ,提高对本病的认识。方法回顾性分析10例恶性腹膜间皮瘤的临床资料。结果　恶性腹膜间皮瘤以腹部肿块及腹痛为主要临床表现 ,大体病理局限型 7例 ,弥漫型 3例。临床误诊 7例。 9例患者行 16次手术治疗 ,接受 1次手术者 4例 ,2次手术者 3例 ,3次手术者 2例 ,首次手术 7例能完整切除肿瘤。术后复发 4例 ,3例再次手术。 1年内死亡 5例 ,2年内死亡 6例 ,最长存活已 9年。结论恶性腹膜间皮瘤较为罕见 ,临床易误诊 ,本病预后较差 。Objective To summarize our experience in the diagnosis and treatment of malignant peritoneal mesothelioma(MPM). Methods Clinical data of 10 patients admitted with MPM were analyzed retrospectively. Results The main symptoms of MPM were intraabdominal mass and abdominal pain in these patients; Seven patients were of localized type, 3 cases were of diffused type; Preoperatively 7 cases were misdiagnosed as other intraperitoneal tumor, 9 patients underwent laparotomy and tumor resection for a total 16 times, including once in 4 cases, two times in 3 cases, and three times in 2 cases. Seven patients received curative resection in initial operation. Five patients died within one year, 6 cases within two years, Tumors recurred postoperatively in 4 cases. 1 case is still survival 9 years after. Conclusion Being comparatively rare, MPM is often misdiagnosed, the prognosis is very poor, curative resection sometimes provides a long survival for localized type of MPM, when combined with perioperative comprehensive therapy.

关 键 词：恶性腹膜间皮瘤 手术者 局限型 诊治分析 肿瘤 死亡 弥漫型 腹部肿块 临床误诊 

分 类 号：R735.5[医药卫生—肿瘤]