| 杨远园,付瑞敏,王进京,等.表现为良性肿瘤的干痛型腹膜恶性间皮瘤 1例[J].安徽医药,2021,25(12):2391-2393. |
| 表现为良性肿瘤的干痛型腹膜恶性间皮瘤 1例 |
| The dry painful type malignant peritoneal mesothelioma presented as benign tumor: a case report |
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| DOI：10.3969/j.issn.1009-6469.2021.12.014 |
| 中文关键词: 间皮瘤 腹痛 石棉 恶性腹膜间皮瘤 干痛型 手术 辅助治疗 预后 |
| 英文关键词: Mesothelioma Abdominal pain Asbestos Malignant peritoneal mesothelioma Dry painful type Surgery Adjuvant therapy Prognosis |
| 基金项目:国家自然科学基金项目( 81560404) |
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| 中文摘要: |
| 目的总结 1例表现为良性肿瘤的干痛型腹膜恶性间皮瘤治疗过程及预后分析。方法回顾性分析遵义医科大学附属医院胃肠外科，在 2019年 3月收治的 1例病人，术前影像学及术中均考虑良性肿瘤，将肿瘤完整切除，术后病理结果为恶性腹膜间皮瘤的病例资料，对病人的治疗过程及预后进行分析。结果 48岁女因“上腹疼痛伴饱胀不适 4月，发现上腹部包块 1月”入院。手术将肿瘤完整切除，术后行“培美曲塞 +顺铂 +贝伐珠单抗”三者联合辅助治疗，每月 1次，共行 10个周期，现已经随访了 1.5年，行全腹 CT平扫 +增强，未见肿瘤复发，体质量较术前增加 13 kg，预后良好。结论表现为良性肿瘤的干痛型腹膜恶性间皮瘤预后良好。 |
| 英文摘要: |
| Objective To summarize the treatment process and prognosis of a case of the dry painful type peritoneal malignant me.sothelioma presented as benign tumor.Methods One patient who admitted to the Department of Gastrointestinal surgery of the affiliat.ed Hospital of Zunyi Medical University in March 2019 was retrospectively analyzed. The benign tumor was considered in both preoper.ative and intraoperative imaging, and the tumor was removed completely, the postoperative pathological result was malignant peritonealmesothelioma. The treatment process and prognosis of the patients were analyzed.Results A 48 year old female was admitted to hospi.tal because of epigastric pain with fullness discomfort for 4 months and epigastric mass for 1 month. The tumor was resected complete.ly, and the patient was treated with pemetrexed + cisplatin + bevacizumab after the operation, once a month for 10 cycles. The patienthas been followed up for 1.5 years. The whole abdominal CT + enhanced scan showed no tumor recurrence. The body mass increasedby 13 kg compared with that before operation and achieve a good prognosis.Conclusion The dry painful type malignant peritoneal me. sothelioma presented as benign tumor which has a good prognosis. |
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