초록 close

저자들은 흉수로 내원하여 결핵성 흉막염 진단 하에 항결핵약제로 치료 시작 후 호전이 없어 시행한 수술적 생검에서 흉막 악성 중피종으로 확진된 3예를 경험하였기에 국내 문헌 고찰과 함께 보고하는 바이다.


Malignant pleural mesothelioma(MPM) is an uncommon neoplasm which is originated from pleural mesothelial cells. The majority of MPM is associated with prior asbestos exposure. Patients often present with chest pain and dyspnea due to pleural effusion, which might be diagnosed with tuberculous pleurisy especially in Korea. MPM is well known for its poor prognosis with a median survival time of less than 12 months after diagnosis and no established standard treatment modality. We report 3 cases of MPM confirmed by video-assisted thoracoscopic biopsy first misdiagnosed as tuberculous pleurisy. (Tuberc Respir Dis 2007; 62: 323-330)