Cover tumour among the peritoneum (digest department of internal medicine)
Summary
Cover tumour refers to sending at tumour of skin cells among the peritoneum originally among the peritoneum. Clinical manifestation does not have characteristic nature, common symptom and physical sign are as follows, abdominal pain, ascites, abdominal distension and belly wrap up one etc.. Peritoneum leather tumour account for all leather tumour 20 of case, can take place on 2 - 92 year old, mean age is 54 year old, invite case of 63 between 45-64 year old, children getting ill and rare among them.
Clinical manifestation
1.Abdominal pain, abdominal distension, ascites, belly wrap up lumps; 2.Apocleisis, disgusting, vomits, the diarrhoea, constipation; 3.Weak, generate heat, become thin, anaemia; 4.Hypoglycemia, filling the air belly ossify; 5.Amalgamate other leather tumour such as leather tumour under peritoneum under position, shift other internal organs and corresponding behavior to amalgamate disease.
Diagnose the basis
1.The patient whose abdominal pain, abdominal distension, ascites, belly wrap up the lump, especially there is asbestos that contacts the history; 2.The image learns to check the peritoneum and have laminar tumour sign and ascites; 3.The ascites comes off cytology is checked; 4.Peritoneum live examine, peritoneoscope and cut open belly ascertain and fetch, organize, make pathology can be made a definite diagnosis of while checking.
Treat the principle
1.Surgery treatment; 2.Radiotherapy; 3.Chemotherapy; 4.Support and treat to the ill.
Use medicine principle
1.Jointly use medicine ' Such as obeying platinum + Ring phosphorus amide + New alkali in Changchun) ,Cooperate the injection chemotherapy medicine in the abdominal cavity ' Such as obeying platinum) ; 2.Injection 32 P or colloidal gold, radiotherapy in abdominal cavity and uniting the chemotherapy medicine; 3.The case that can't excise to the operation, adopt the radiotherapy (60 C o) With chemotherapy ' Ring phosphorus amide, Changchun new alkali, dactinomycin D,etc.) .
Auxiliary examination
1.Check the frame limit " A " Disease apt to obscure except facilitating; 2.Check the frame limit " B " Facilitate making a definite diagnosis of.
Curative effect is appraised
1.Cure: Tumour is excised, without complication, the notch heals, clinical symptom disappears; 2.Take a favorable turn: Symptom is improved after radiotherapy, chemotherapy, tumour dwindles or the growth speed is slowed down, the appetite takes a favorable turn, the weight increases; 3.Have not healed: The physical sign of clinical symptom does not disappear.
The expert briefs on
It is leather for tumour in peritoneum skin at being the of originating from peritoneum with among whether skin organize,asbestos the dusts is for materials pathogenic, some virus may be the reason for causing a cover tumour too. The cover tumour pathology among the peritoneum can be divided into: Adenoma kinds of tumour, leather tumour, and leather tumour 3 among being malignant among the bag. Peritoneum leather tumour clinical manifestation have specificity is relevant to check masculine gender lead high, the specificity is not strong, clinical diagnosis is very difficult. As the peritoneoscope is checked, supersonic wave and C T lead living puncture to examine the development, pathology, immunity of technology to organize chemistry and electric mirror to diagnose the improvement of competence, more and more cases get clear pathological diagnosis before death or before the skill. Leather tumour answers mainly among the peritoneum and tuberculosis peritonitis, shift cancer, other tumours that take place in the abdominal cavity in the big omentum of peritoneum originally to distinguish. Up until now, peritoneum leather tumour lack specific therapeutic method still, most scholar maintain, include surgery excise, postoperative radiotherapy with chemotherapy comprehensive to treat the measure.

Pleura leather tumour whether pleura send tumour, type of limitation had originally (more for being benign) With the filling the air type ' It is malignant that all) It Divide. Leather tumour chest prognosis broken tumour most one of among person who fill the air malignant among them. Most patients are at 40-70 years old, it One, men exceed women. First publish symptom ache, cough and breathe hard for being most common with chest. Have it in order to generating heat, sweat or arthralgia as main suit symptom too Person. About over half of the patients have a large number of thoraxes to accumulate the liquid to accompany and breathe hard seriously. Have a large number of chest water person chest it aches to be comparatively drama often Strong, the weight is lightened commonly. Chest slice finds pleura accumulates liquid, the lung is wrapped up etc. by the tumour tissue at the same time in the ordinary X-ray, it is late There can be pericardiums to ooze the liquid in a case the heart shadow caused is expanded and soft tissue shadow and rib are destroyed etc.. As to the patient of cover tumour among the suspicious malignant pleura, it is the most useful that CT checks. Cytology of water of chest is checked to facilitate examining too Broken. The regular laboratory is while checking, some patients can have blood platelet to increase, the cancer embryo antigen of serum (CEA) Rising When. As to the thing that routine inspection can't be defined and diagnosed, can make the pleura to live and examine with the thorax mirror. But the reasons of general most patients This is diagnosed. Malignant leather treatment of tumour under pleura, there is no effective radical cure method yet at present. On therapeutic method, condone Sex treatment, surgical treatment, chemical treatment and radiotherapy,etc., it is generally acknowledged that ill to I stage of the relative limitation of tumour People, maintain that makes the pleura lung effecting a radical cure to excise the skill. As to, issues of patient,effecting a radical cure the operations the getting getting more more meaningful already ,it have only implement perform the operation condoning. In fact, reach most patient by disease in while diagnosing clearly by II stage already with Have. Chest water increased rapidly often causes patient's serious having difficulty in breathing, so the condoning operation, for improving these late A patient's life quality is of great significance. Adopt thorax pour into chemotherapy medicine,etc. disappear chest ink or impel the pleura in the past The method locked in adhesion is often difficult to be effective. Cover tumour among the peritoneum Cover tumour refers to sending at tumour of skin cells among the peritoneum originally among the peritoneum. Clinical manifestation does not have characteristic nature, common symptom The physical sign of sum is as follows, abdominal pain, ascites, abdominal distension and belly wrap up one etc.. Cover tumour accounted for tumour case of all covers among the peritoneum 20, can happen at 2 - 92 years old, mean age is 54 years old, among them invite the case of 63 in 45- Between 64 years old, children are ill rare. Clinical manifestation 1.Abdominal pain, abdominal distension, ascites, belly wrap up lumps; 2.Apocleisis, disgusting, vomits, the diarrhoea, constipation; 3.Weak, Generate heat, become thin, anaemia; 4.Hypoglycemia, filling the air belly ossify; 5.Amalgamate cover tumour among other position like the peritoneum Among leather tumour, last internal organs and not with disease behaviors corresponding. Diagnose the basis 1.The patient whose abdominal pain, abdominal distension, ascites, belly wrap up the lump, especially there is asbestos that contacts the history; 2.The image learns to check the peritoneum There are laminar tumour sign and ascites; 3.The ascites comes off cytology is checked; 4.Peritoneum live examine, peritoneoscope and cutting open the belly Ascertain and fetch and organize the pathology of making and can be made a definite diagnosis of while checking. Among peritoneum it is leather for tumour it is at being the of originating from peritoneum skin with among whether skin organize,asbestos the dusts is for materials pathogenic, some virus is possible too It is a reason for causing a cover tumour. The cover tumour pathology among the peritoneum can be divided into: Adenoma kinds of tumour, bag leather tumour, and among being malignant Three kinds covers tumours. Peritoneum leather tumour clinical manifestation have specificity is relevant to check masculine gender lead high, the specificity is not strong, Clinical diagnosis is very difficult. Until peritoneoscope check, supersonic wave and C T lead puncture living development to examine technology and Organize chemistry and electric mirror to diagnose the improvement of competence in pathology, immunity, more and more cases are got bright before death or before the skill True pathological diagnosis. Peritoneum leather tumour answer mainly and tuberculosis peritonitis, abdominal cavity shift cancer, take place to the belly while being other Tumour of the big omentum of membrane is distinguished.