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題名 | Avoiding Possible Misdiagnosis of Malignant Pleural Epithelioid Mesothelioma: A Case Report and Literature Review=避免誤診惡性肋膜間質上皮細胞瘤:病例報告與文獻回顧 |
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作者 | 李羽仁; 彭萬誠; 簡志峰; 劉崢偉; 蘇文麟; | 書刊名 | 胸腔醫學 |
卷期 | 29:5 2014.10[民103.10] |
頁次 | 頁298-303 |
分類號 | 415.43 |
關鍵詞 | 惡性肋膜間質上皮細胞瘤; 肺腺癌; 免疫組織化學染色; 診斷; Malignant pleural epithelioid mesothelioma; Lung adenocarcinoma; Immunohistochemistry stains; Diagnosis; |
語文 | 英文(English) |
中文摘要 | 惡性肋膜間質上皮細胞瘤與肺腺癌在初步的組織病理切片中,兩者很難區分,我們的案例報告是一個72歲女性,曾在造船廠工作,暴露在石棉環境超過30年,最近6個月開始出現右側胸痛現象。胸部電腦斷層發現右側肋膜不規則增厚,有多發性結節與硬塊併鈣化點,且存在腔室化肋膜積液。經電腦斷層導引切片後,初步病理報告為轉移性中度分化的肺癌,但並未對惡性肋膜間質細胞瘤作相關的免疫組織化學染色,因病史與影像學報告均高度懷疑惡性肋膜間質細胞瘤的可能性,於是病理科做進一步的免疫組織化學染色,最後確定診斷是惡性肋膜間質上皮細胞瘤。 |
英文摘要 | Distinguishing malignant pleural epithelioid mesothelioma from metastatic adenocarcinoma is difficult using histological features alone. We report the case of a 72-year-old woman with occupational exposure to asbestos for more than 30 years presenting right chest pain for 6 months. Chest computed tomography (CT) detected multiple nodules and masses, pleural thickening, focal calcified plaques and mild loculated pleural effusion in the right hemithorax. CT-guided biopsy of the right pleural mass, without immunohistochemical staining, revealed adenocarcinoma, moderately differentiated. After discussion with the pathologists, further immunohistochemical staining was performed. The final report was suggestive of malignant pleural epithelioid mesothelioma. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。