恶性多层层质瘤与收缩性心膜炎作为第一个表现:一个病例报告
Cheng-Peng He1, Di-Wei Tu1, Ting-Wei Zhang1
1Department of Respiratory and Critical Care Medicine Binzhou Medical College Affiliated Hospital (First Clinical Medical College) Binzhou China.
Clinical case reports
|June 23, 2023
概括
恶性腹半质瘤很少表现为收缩性心膜炎. 这一案例凸显了囊活检在诊断无法解释的收缩性心膜炎方面的重要性,即使最初的发现是良性的.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 恶性多叶层层层瘤 (PM) 很少涉及心周.
- 收缩性心膜炎是PM的不常见的初始表现.
研究的目的:
- 报告一种罕见的恶性PM病例,呈现为收缩性心膜炎.
- 强调在患有心周和胸腔疾病的情况下对恶性PM的诊断考虑.
主要方法:
- 一个59岁的男性的病例报告.
- 诊断工作包括心周切除术,计算机断层扫描 (CT) 扫描,腔穿刺和淋巴结活检.
主要成果:
- 最初的诊断是收缩性心膜炎与中层增生.
- 随后出现的症状导致CT扫描揭示了胸膜加厚,心周溢出和淋巴结扩大.
- 病理学证实了从膜和淋巴结活检中得到的恶性膜间皮瘤.
结论:
- 恶性腹半质瘤可以表现为收缩性心膜炎.
- 胸腔活检对于在没有其他因素的情况下诊断结缩性心膜炎的原因至关重要.
- 心周应被认为是恶性PM的潜在参与部位.
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