Abstract
Introduction: the mesothelioma is a primary tumor developed from a pleural mesothelium, very close in the asbestos exposure. This retrospective study interests 74 cases of malignant pleuroma (MPM) diagnosed by medical thoracoscopy in Blida between January 2001 and December 2011, that is an average from 5 to 7 cases a year. Purpose: it is the screening of the pathology in Algeria for better one raising awareness of the world of the work for a better protection. Patients and Methods: the recruitment of the patients is made among those presenting a liquid pleural effusion mostly recurrent the diagnosis of which was not able to be made after two needle pleural biopsies.Results: the distribution according to the gender and the age finds 87,8 % of male, 12,2 % of female, with 82,8 % of the more 50-years-old cases .average age being of 66 years with extremes of 36 and 82 years.The notion of asbestos exposure was found at 63,6 % of the patients;it is badly specified at the others. The revealing clinical symptomatology of the disease contains: the liquid pleural effusion 94 %, the chest pain 86,4 %.radiological aspects are represented by: pleural effusion 94 % is 69 cases,mamelonated pleural, thickening (4cases) and a case of pneumothorax.associated parenchymal lesions are essentially represented by nodular opacities and/or pseudotumoral. Histological aspects are essentially epithelial shape,Conclusion:The thoracoscopy is the technique of choice to make the fast diagnosis of certainly of the pleural mesothelioma.
- © 2013 ERS