21例胸膜间皮瘤误诊原因探讨

目的：探讨21例胸膜间皮瘤的误诊原因。提高对本病的认识，减少误诊，方法：临床资料回顾性分析。结果：18例弥漫，大片及限局病变伴胸液者误诊结核性胸膜炎及胸膜炎；3例块状病变者误诊肺癌，4例经术后病理确诊；2例胸膜活检确诊；15例胸液内检出恶性细胞，结合X线确诊。结论：胸膜活检，胸液内检出恶性细胞，结论X线以胸膜为主的病变，排除身体其他部位原发瘤灶，对本病的诊断是准确的。

The analyses of misdiagnosis reasons in 21 cases of pleural mesothelioma

Objective:To analyze the misdiagnosis reasons in 21 cases of pleural mesothelioma,to improve the level of diagnosis of the disease and reduce misdiagnosis.Methods:A retrospective study of 21 patients. Results: Eighteen cases with diffuse and focal changes combined pleural effusion were misdiagnosed tuberculosis pleurisy and pleurisy; 3 cases presented with mass were misdiagnosed Lung cancers.Twenty-one cases were diagnosed right last, 4 cases by pathobiology, 2 cases by pleural biopsy, 15 cases by finding cancer cell from pleural effusion combinded with radiograph. Conclusions:By pleural biopsy or by finding cancer cell from pleural effusion combinded with radiograph and primary malignant disease in other area of body was excluded,pleural mesothelioma may be diagnosed right.