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例1,男,49岁,于1998年2月入院。患者于1年前出现无明显诱因的右前胸壁皮肤针刺样及烧灼样疼痛,呈持续性,活动、咳嗽及用力触压时明显,夜间尤甚,不伴午后低热及夜间盗汗,食欲正常。病后曾在当地医院经胸部X线检查诊断为“右侧结核性胸膜炎”给正规抗痨治疗半年,效果不明显。近1个月来胸痛加重,且出现咯血症状,遂来我院就诊。胸片检查示右侧胸膜肥厚,胸部CT检查示右侧胸7×6×6cm大小实性占位,侵入第三、四肋骨及周围肺组织,肺部可见约3×3×2cm大小。初步诊断为恶性胸膜间皮瘤侵及肺。
Example 1, male, 49 years old, was admitted to hospital in February 1998. Patients showed acupuncture-like and burning-like pain in the right anterior chest wall skin without obvious inducement for a year ago. They showed persistence, activity, cough and palpable pressure, especially at night, without hypocaloric fever and nocturnal night sweats. Their appetite was normal. After the disease in the local hospital by chest X-ray examination diagnosed as “right tuberculous pleurisy” to the regular anti-tuberculosis treatment for six months, the effect is not obvious. Nearly a month to increase chest pain, and hemoptysis symptoms, then came to our hospital. Chest examination showed right pleural thickening, chest CT examination showed the size of the right chest 7 × 6 × 6cm solid occupying the third and fourth ribs and surrounding lung tissue, the lung visible size of about 3 × 3 × 2cm. Preliminary diagnosis of malignant pleural mesothelioma invasion of the lungs.