Analysis of the clinical diagnosis of asbestosis complicated with malignant mesothelioma / 中华劳动卫生职业病杂志

ABSTRACT

<p><b>OBJECTIVE</b>To discuss the clinical characteristics, diagnosis and treatment of the clinical characteristics and prognosis of asbestosis complicated with malignant mesothelioma patients.</p><p><b>METHODS</b>In 3 cases of asbestosis complicated with malignant mesothelioma were retrospectively analyzed.</p><p><b>RESULTS</b>In the 3 patients, 2 cases of pleural mesothelioma, with chest tightness, chest and back pain as initial symptom; 1 case of peritoneal mesothelioma, with abdominal distention, abdominal pain, dysuria as initial symptom. One case of the pleural mesothelioma misdiagnosed as tuberculous pleurisy. 3 patients were in CT or B ultrasound guided biopsy pathology confirmed to be malignant mesothelioma. 2 patients received systemic chemotherapy, another received symptomatic and supportive treatment. Up till now, 3 patients have died.</p><p><b>CONCLUSION</b>The disease is a high degree of malignant, the early clinical manifestations are not specific, easily missed diagnosis and misdiagnosis. The treatment effect is not ideal, the prognosis is poor. Biopsy is a reliable method for diagnosis of MM.</p>