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本文报告经病理证实的29例胸膜间皮瘤和1例心包间皮瘤。其中局限型16例,弥漫型14例。组织学上良性2例,恶性28例。有石棉接触史者1例。30例中,失访5例,死亡17例,仅生存8例。其生存期手术组平均27.1个月,化疗组为10.6个月,未治疗组为9.2个月。生存病例中,3例病情恶化,3例术后1年局部复发,预后不良;仅2例术后已健在23个月和51个月。
This article reports 29 pathologically confirmed pleural mesothelioma and 1 pericardial mesothelioma. Of these, 16 cases were localized and 14 cases were diffuse. Histologically, there were 2 benign cases and 28 malignant cases. There was one case of asbestos exposure history. Of the 30 cases, 5 were lost to follow-up, 17 were dead, and only 8 survived. The mean survival time was 27.1 months in the surgical group, 10.6 months in the chemotherapy group, and 9.2 months in the untreated group. Among the surviving cases, 3 had worsening condition, 3 had local recurrence 1 year after surgery, and the prognosis was poor; only 2 patients had been healthy for 23 months and 51 months.