恶性胸膜间皮瘤（MPM）以水气胸为表现。
Malignant Pleural Mesothelioma (MPM) Presenting as Hydropneumothorax.
发表日期：2023 Jul
作者：
Masami Kuramochi, Takuma Muraoka, Mayumi Shinonaga, Haruo Ohtani, Setsuo Kuraoka
来源：
Immunity & Ageing
摘要：
一名86岁男性患者出现双下肢水肿，胸部放射检查发现气液胸。胸部CT显示有明显的胸腔积液和斑块。该患者曾在石材车间工作，但暴露于石棉的程度尚不清楚。经过胸腔引流和随后的胸腔镜手术，病理检查证实存在双相恶性间皮瘤。水肿性气胸作为恶性胸膜间皮瘤（MPM）的表现很少见，仅有少数类似的病例报道。值得注意的是，尽管该患者同时存在胸腔积液和气胸，却没有出现呼吸困难。检查还显示肿瘤破裂和胸膜破裂。在无症状水肿性气胸患者中考虑MPM的可能性对早期诊断和适当治疗至关重要。版权所有 © 2023，Kuramochi等人。
An 86-year-old man presented with bilateral lower limb edema and was found to have hydropneumothorax on chest radiography. CT revealed a substantial pleural effusion and plaques. The patient had a history of working in a stone workshop, but the extent of asbestos exposure remained unknown. Thoracic drainage and subsequent thoracoscopic surgery confirmed the presence of biphasic malignant mesothelioma through pathological examination. Hydropneumothorax as a presentation of malignant pleural mesothelioma (MPM) is rare, with only a few similar cases reported. Remarkably, despite the coexistence of plural effusion and pneumothorax, the patient did not experience dyspnea. The examination also revealed tumor rupture and disruption of the pleura. Considering the possibility of MPM in patients with asymptomatic hydropneumothorax is essential for early diagnosis and appropriate management.Copyright © 2023, Kuramochi et al.