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Vol. 18. Issue 3.
Pages 124-131 (May - June 1982)
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Vol. 18. Issue 3.
Pages 124-131 (May - June 1982)
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Seudomesoteliomas: diagnostico diferencial
Pseudomesotheliomas: a differential diagnosis
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F. Rodriguez Panadero*, J.A. Garcia Canton**, J. Muñoz Gutierrez*, E. Rodriguez Becerra*, J. Lopez Mejias*
* Servicio de Neumología. Ciudad Sanitaria de la S. S. Virqen del Rocío. Servicio de Neumología. Sevilla
** Departamento de Anatomía Patológica. Ciudad Sanitaria de la S. S. Virqen del Rocío. Servicio de Neumología. Sevilla
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Resumen

Tras estudiar la sintomatología, hallazgos en la exploración clínica, datos radiológicos y características del líquido pleural de ocho mesoteliomas pleurales malignos y diez tumores pleurales secundarios con forma seudomesoteliomatosa, se exponen de manera comparativa los hallazgos en los dos grupos, con el resultado de que las mayores diferencias se encuentran en la sintomatología y siendo el estudio bioquímico del líquido pleural lo menos discriminativo. Se establece un escalonamiento en los métodos diagnósticos aconsejables y se hace una breve exposición de las dificultades del diagnóstico diferencial, incluso a nivel anatomopatológico.

Summary

The results of a study comparing the symptome, clinical signs, radiological findings and characteristics of the pleural fluid of 8 cases with malignant pleural mesotheliomas and 10 cases with secondary pleural tumors with pseudomesotheliomous forms, are reported. The signs and symptoms differed most between the two processes, the pleural fluid the least.

Recommended diagnostic procedures are graded, and the difficulties—including anatomopathological ones—posed by the differential diagnosis are set out.

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Copyright © 1982. Sociedad Española de Neumología y Cirugía Torácica
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