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左側 全肺野를 가린 大量의 血性胸膜渗出液

Malignant Mesothelioma Causing Bloody Pleural Effusion

결핵및호흡기질환 1982년 29권 1호 p.43 ~ 46
김홍범, 김영철, 박순규, 신영기,
소속 상세정보
김홍범 ( Kim Hong-Bum ) - 부산대학교 의과대학 내과학교실
김영철 ( Kim Young-Chul ) - 부산대학교 의과대학 내과학교실
박순규 ( Park Soon-Kew ) - 부산대학교 의과대학 내과학교실
신영기 ( Shin Young-Kee ) - 부산대학교 의과대학 내과학교실

Abstract


Mesothelioma is a rare primary neoplasm of the pleura arid can be seperated into benign and malignant lesions. Mesotheliomas are usually, but not always, related to previous exposure to asbestos. Malignant mesothelioma usually infiltrate widely over the pleural surface and may completely encase the lung; the tumor often invades the diaphragm, pericardium and hilar lymph nodes. Cough, chest pain, and weight loss are nearly always present in addition to dyspnea. Bloody pleural effusion containing malignant cells is frequently served. Prognosis of patients with diffuse malignant
mesothelioma is bad. This 28 year old female patient was transferred to BNUH from local clinic because of bloody pleural effusion of one months duration. On chest film, there was total haziness of left lung due to pleural effusion. After thoracentesis, chest films showed mass-like density by air-contrast in pleural cavity. CT of the chest showed multiply lobulated intrapleural mass with pleural effusion. By pleural needle biopsy, the lesion was confirmed as a malignant mesothelioma.

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