中国内地164例原发性恶性心包间皮瘤误诊分析

发布时间：2018-02-13 06:32

本文关键词： 心包间皮瘤心包炎误诊超声心动图　出处：《临床心血管病杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的:探讨原发性恶性心包间皮瘤(PPM)误诊情况并分析可能原因。方法:检索中文数据库,收集中国内地近35年报道的、有临床诊断或影像学记录的PPM患者诊断及误诊信息。结果:164例患者中,65例(39.6%)患者报道误诊,且存在误诊为多种疾病的情况(共88例次):71例次(80.7%)临床误诊,17例次(19.3%)影像学误诊。前者以结核性心包炎最常见(40例次,56.3%),其次为缩窄性心包炎(17例次,23.9%);后者以纵隔占位最常见(11例次,64.7%),其次为心包囊肿(4例次,23.5%)。结论:PPM罕见的发病率及缺乏特异的临床和影像学表现导致该病早期易误诊,结核性心包炎是最常被误诊的疾病,反复细胞学、组织病理学检查结合免疫组织化学分析有助于明确诊断。
[Abstract]:Objective: to investigate the misdiagnosis of primary malignant pericardial mesothelioma (PPM) and analyze the possible causes. Diagnostic and misdiagnosis information of PPM patients with clinical diagnosis or imaging records. Results 65 out of 164 PPM patients were reported misdiagnosed. Imaging misdiagnosis was found in 17 cases of tuberculous pericarditis (40 cases with tuberculous pericarditis), followed by 17 cases of constrictive pericarditis (23. 9%) and 17 cases of mediastinal pericarditis (23. 9%), which were misdiagnosed as multiple diseases (88 cases, 71 times, 80.7 times), and 17 cases with tuberculous pericarditis, 17 cases with tuberculous pericarditis, and 17 cases with tuberculous pericarditis, respectively. The most common occurrences were 11 cases (64.7%), followed by pericardial cysts (4 cases). Conclusion the rare incidence of PPM and the lack of specific clinical and imaging manifestations lead to early misdiagnosis of the disease. Tuberculous pericarditis is the most frequently misdiagnosed disease.
【作者单位】：首都医科大学附属北京朝阳医院心脏中心心脏超声科;北京大兴区人民医院心内科;
【分类号】：R732.1

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