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许多学者认为胸膜间皮细胞瘤很少向远处转移。作者报告的32例中15例见远处内脏转移(47％),可见本病远处转移并非少见。本文所有病例均作尸检,经组织学确诊(个别病例未作脑部解剖)。按肿瘤组织学可分上皮型(14例)、间质型(8例)和混合型(10例)三型。32例转移情况:17例(53％)见肺门及纵隔淋巴结转移,15例远处转移的内脏包括对侧肺(7例),肾(5例,4例双侧),肾上腺(3例),1例双侧),其余为心、脑、肝、胰腺、甲状腺,腰椎等。病员可出现血性心包积液、偏瘫、昏迷、截瘫等症候。远处内脏转移与组织学分型无关,三型有半数见远处继发肿瘤。作者以100例经组织学证实的肺癌患者为对照,
Many scholars believe that pleural mesothelioma rarely shifts to the distant place. Of the 32 cases reported by the authors, 15 had distant visceral metastases (47%), indicating that distant metastases of the disease are not uncommon. All cases in this article were autopsied and confirmed by histology (individual cases were not brain anatomy). According to tumor histology, three types of epithelial type (14 cases), interstitial type (8 cases) and mixed type (10 cases) were classified. Metastasis of 32 cases: 17 cases (53%) showed hilar and mediastinal lymph node metastases, 15 cases of distant metastases including contralateral lung (7 cases), kidney (5 cases, 4 cases bilateral), adrenal gland (3 cases) ), 1 case of bilateral), the rest of the heart, brain, liver, pancreas, thyroid, lumbar and so on. The patient may present with signs of bloody pericardial effusion, hemiplegia, coma, and paraplegia. Distant visceral metastasis was not associated with histological type. Half of the three types had secondary tumors distant. The authors used 100 histologically confirmed lung cancer patients as controls.