Pleural mesothelioma is pleural primary tumor, restricted type (mostly benign) and diffuse (all malignant) of the points. Which diffuse malignant mesothelioma is worst prognosis breast tumors. Between 40-70 years of age in most patients, more men than women. Initial symptoms of chest pain, cough and breathlessness as the most frequent. Have fever, sweating or joint pain mainly v. symptoms. About half of these patients have a large number of pleural effusion with severe shortness of breath. No large pleural effusion were often more severe chest pain, weight loss, common. Ordinary X-ray found that pleural effusion, and lung tumor tissue was wrapped so advanced cases may have pericardial effusion due to heart expansion and soft tissue shadow and rib destruction. For patients with suspected malignant pleural mesothelioma, CT check the most useful. Pleural effusion cytology are diagnostic. Routine laboratory examination, some patients have thrombocytosis, serum carcinoembryonic antigen (CEA) increased, etc.. For routine examination the diagnosis can not be clear, can do thoracoscopic pleural biopsy. General most patients can be diagnosed.
The treatment of malignant pleural mesothelioma, there is still no effective cure. Treatment methods, there is a palliative treatment, surgical treatment, chemotherapy and radiotherapy, are generally considered relatively limited for tumors of the patients I advocate so radical a pleural pneumonectomy. For Ⅱ, Ⅲ, Ⅳ of patients, radical surgery has no meaning, only palliative surgery. In fact, the majority of patients to disease diagnosis, has been in II, above. Rapid growth in patients with pleural effusion often leads to serious breathing difficulties, so palliative operation for improving the quality of life of these terminally ill patients is significant. Previous intrapleural chemotherapy using drugs or cause regression of pleural adhesion pleural effusion method atresia often difficult to work. I Division with thoracoscopic pleurodesis in malignant pleural mesothelioma in the palliative treatment achieved good results, thoracoscopic surgery is thoroughly clean and pleural fluid aspiration, and the full separation of adhesions, so that lung recruitment, and then sprayed into the sterilized talcum powder, for pleurodesis to control pleural fluid formation, relieve symptoms in patients with advanced cancer. We made a simple talcum powder spray device, a convenient and practical, spray characteristics of good results, has been widely adopted by domestic counterparts, combined with our years of experience in thoracoscopic surgery, so I Division in the treatment of malignant pleural mesothelioma has reached a domestic and international advanced level.
The treatment of malignant pleural mesothelioma, there is still no effective cure. Treatment methods, there is a palliative treatment, surgical treatment, chemotherapy and radiotherapy, are generally considered relatively limited for tumors of the patients I advocate so radical a pleural pneumonectomy. For Ⅱ, Ⅲ, Ⅳ of patients, radical surgery has no meaning, only palliative surgery. In fact, the majority of patients to disease diagnosis, has been in II, above. Rapid growth in patients with pleural effusion often leads to serious breathing difficulties, so palliative operation for improving the quality of life of these terminally ill patients is significant. Previous intrapleural chemotherapy using drugs or cause regression of pleural adhesion pleural effusion method atresia often difficult to work. I Division with thoracoscopic pleurodesis in malignant pleural mesothelioma in the palliative treatment achieved good results, thoracoscopic surgery is thoroughly clean and pleural fluid aspiration, and the full separation of adhesions, so that lung recruitment, and then sprayed into the sterilized talcum powder, for pleurodesis to control pleural fluid formation, relieve symptoms in patients with advanced cancer. We made a simple talcum powder spray device, a convenient and practical, spray characteristics of good results, has been widely adopted by domestic counterparts, combined with our years of experience in thoracoscopic surgery, so I Division in the treatment of malignant pleural mesothelioma has reached a domestic and international advanced level.
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