Pleural Neoplasms, Pleural Tumor

Covers about 50% of tumors of the pleura in pleural diseases. Pleural tumors and metastases in men than once too many times metastatiktir lung, lung and breast in women occurs.

Intraplöral disrupt the balance of secretion and absorption of the tumor, venous and lymph circulation, obstruction, tumor cells or exudation exudative provoked to take off their liquid, due to bronchial obstruction paraplöral infectious causes of pleural fluid. Furthermore, hypoproteinemia, or cancer of pleural fluid can lead to congestive heart failure.

Stomach, pancreas, colon, breast, kidney and other organ cancers in the pleura metastases. Furthermore, lymphoma, Hodgkin's disease, especially frequent pleural metastases.

Primary tumors of the pleura

Primary pleural mesothelioma tumors. There are two types of mesothelioma: (1) local fibrous mesothelioma, (2) common malignant mesothelioma.

Local Fibrosis Mesothelioma

Macroscopically, the tumor ankapsüle, in the form of a hard nodule, visceral or parietal pleura in a narrow smack dismissed. Hemithorax may be enough to cover a few centimeters or the size of the tumor. Microscopic examination of tumor tissue and benign tissue in some parts of the structure of kolagen seen. Local mesothelioma from benign nature in terms of trends. However, a very long time, especially after surgery may develop local invasion.

Fibrous mesothelioma after 40 years of age are more local. There is no clinical symptoms in most patients. Routine lung tumor radyografısiyle understood. The tumor is greater dyspnea, chest pain and cough may occur. Hyper-trophic pulmonary osteoarthropathy is a common finding. Patients sometimes a sub-febrile fever, chills and high fever attacks rarely occur. Sweating is common. Especially the knee, ankle and toe joints and rheumatic pain roma-toid arthritis common clinical manifestations. Pleural epanşmanı may husule, sometimes bloody.

The local primary or metastatic lung cancer mesothelioma diagnosis usually is made. Lung periphery, surrounding a specific lesion in the presence of symptoms of hypertrophic pulmonary osteoarthropathy, local increases suspicion of mesothelioma. Locally, this type of mesothelioma is a rare disease, thought to changes in the majority of cases of bronchial cancer.

Treatment, resection of the tumor surgically. After removal of the tumor of bone, joint symptoms, and clubbing are lost.

What is common malignant mesothelioma

Usually seen after 40 years of age, cause of the disease in almost every case, asbestosistir. Mesotel proliferation of cancerous cells is high. Plaktan develops a fibrous tumor, lung and interlobar sissürlere wraps round progresses. Pericardium, heart, and against the party plevrasına diyafrağmaya can spread directly. These tumors are caused by massive pleural fluid. The appearance is like a liquid, or white exudate Epanşman. Moment-a cyst fluid tumor grows, flourishes. Mediastinal and hilar lymph nodes are spread in 50% of cases. In some cases, hematogenous spread to other organs are.

Liver and other lung, hematogenous metastases seen in most organs. Pleural mesothelioma in the peritoneum can spread, pleural or peritoneal mesothelioma can spread.

Polimorftur histological structure of malignant mesothelioma. Changes in cancer tissue sarcoma and mixed together. In some cases, only sarcoma tumor alone or niteliğindedir cancer.

Common cases of malignant mesothelioma, a local clinical symptoms of benign mesothelioma are more pronounced. The most important clinical symptom chest pain-force it. Küntdür this pain many times, gradually gains a serious nature. Excess of the size of the tumor and the pleura epanşmanının are developing in parallel with a dyspnea. So many times, a chronic, dry cough, these symptoms are added. Fatigue, systemic symptoms such as weight loss is common, but osteoarthropathy and clubbing in the symptoms of benign mesothelioma are rare malignant mesotelyomada.

Chest radiography is a common pleural thickening. There are some cases epanşmanı pleura, lung parenkimasında seen a significant change. In some cases, with bilateral pleural thickening husule income.

Cytological examination of pleural fluid or pleural needle biopsy in the diagnosis of the disease can be provided. However, a definitive diagnosis in most cases, open pleural biopsy, pleurectomy, decortication with plöropnömonektomi If done less frequently understood.

Palliative treatment. Surgical removal of tumor, radiotherapy or chemotherapy initiative has not been a more favorable prognosis. Fungal infection and tumor recurrence is most often seen at the operative site. Reduced dyspnea and lung function increases the patient's pleural epanşmanı boşaltılınca.

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