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一例大量血性心包积液的多发恶性心包间皮瘤

戎 嘉诚, 邢 春艳

摘要

目的:原发性心包间皮瘤是一种极为罕见的预后较差的肿瘤,各年龄人群均可发生。本文报道一例主要表现为心包
填塞的大量血性心包积液的原发性恶性心包间皮瘤患者,由正电子发射计算机断层扫描(PET-CT)及病理检验结果联合确诊。
患者在心包闭式引流后接受奈达铂联合培美曲塞化疗,6 个月后死亡。心包间皮瘤在组织学上主要呈椭圆形编织状排列的
上皮样细胞团,细胞核深染。此类病例较少见,临床医生和病理学家认为其为一类可相对早期诊断的心包肿瘤。为发现这
种罕见疾病的早期诊断方法,需要积累临床影像诊断和病理诊断结果。

关键词

正电子发射计算机断层扫描;免疫组化;恶性心包间皮瘤;心包积液

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参考

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