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间皮瘤是来源于浆膜间皮的极少见肿瘤,仅占尸检病例的0.6％。间皮瘤淋巴结转移更少见报道,现就本例临床及细胞学特征报告如下: 患者,男,69岁,已婚。退休干部。1993年9月11日来我院就医。主诉:既往有糖尿病及冠心病史,自去年起渐感体质衰退,乏力,胃纳减退,有时咳嗽。近来出现腹胀,双下肢水肿,症状日逐加重。查体:体温37.2℃,P80次/min,R23次/min,BP22.7/9.3kPa。贫血貌,神志清楚.结合膜苍白.巩膜无黄染,浅表淋巴结(-),颈静脉坐位不怒张.肝颈返流征(-)。轻度颜面水肿,蜘蛛痣未见,“唇绀不明显。轻度桶胸,呼吸音尚清晰,无啰音,心律齐.A2≈P2无病理性瓣膜杂音。心尖部第2心音分裂,无心音遥远感,腹部膨隆,腹水征(+)呈中等量。肝脾未能满意触诊,全腹无包块及压痛,未见腹壁静脉曲张。下肢
Mesothelioma is a rare tumor derived from serosa mesothelium and accounts for only 0.6% of autopsy cases. Mesothelioma lymph node metastasis is rarely reported. The clinical and cytological features of this case are reported as follows: Patient, male, 69 years old, married. Retired cadres. September 11, 1993 came to our hospital for medical treatment. Chief Complaint: There has been a history of diabetes and coronary heart disease. Since last year, she has experienced a gradual decline in physical fitness, fatigue, decreased appetite, and sometimes cough. Abdominal distension and edema of the lower extremities have recently occurred, and the symptoms have become increasingly severe. Physical examination: Body temperature 37.2°C, P80 beats/min, R23 beats/min, BP22.7/9.3 kPa. Anemia appearance, conscious. Combination of pale membranes. Scleral no yellow staining, superficial lymph nodes (-), jugular vein sitting position is not angered. Liver neck reflux syndrome (-). Mild facial edema, spider axillary not seen, "the lip is not obvious. Mild barrel chest, breathing sound is still clear, no snoring, heart rate Qi. A2 ≈ P2 no pathological valve murmur. Apical second heart sound split, no heart Sound remoteness, abdominal distension, ascites sign (+) showed moderate volume, liver and spleen were not satisfied with palpation, no mass and tenderness in the abdomen, no abdominal varicose veins.