Malignant mesothelioma of pericardium: a case report
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摘要: 心包恶性间皮瘤是起源于心包浆膜层的恶性肿瘤，临床罕见，其影像学表现更是缺乏特征性。我院2018年确诊了1例心包恶性间皮瘤患者，其影像学检查资料比较全面，患者通过X线检查发现心影异常，CT及MRI进一步检查可以明确病灶的位置、形态及相关影像学表现。因此，影像学检查对于临床确诊心包间皮瘤起到关键作用。Abstract: Malignant pericardial mesothelioma is a malignant tumor originating from the layer of the pericardial serosa. It is rarely in clinic and its imaging performance is lack of specificity. A case of malignant pericardial mesothelioma was diagnosed in our hospital in 2018. The imaging data are more comprehensive. The patient found abnormal cardiac shadow by X-ray examination. Further examination of CT and MRI can determine the location, morphology and related imaging features of the lesions. The imaging examination plays a key role in the clinical diagnosis of pericardial mesothelioma.
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图 2 胸部CT影像学检查
前纵隔软组织密度肿块, 平扫CT值: 42 HU, 增强扫描动、静脉期CT值分别: 55 HU、66 HU, 病灶包绕肺动脉及主动脉, 与肺动脉、主动脉分界不清, 心包增厚伴积液.
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