胸膜间皮瘤是原发于胸膜间皮组织或胸膜下间质组织的一种少见肿瘤。临床根据肿瘤生长方式,分为局限性胸膜间皮瘤及弥漫性恶性间皮瘤两类,与预后有明显相关。前者多为良性或低度恶性;后者均为高度恶性。本病可发生于任何年龄,但以40—60岁最多,男性多于女性。1、病例介绍 患者,女,72岁。胸痛2月,气急胸闷1周,食欲差,体重稍减轻。经多家医院诊断为结核性胸膜炎,多次抽水为血性,经抗痨治疗无明显效果。1995年3月12号入我院诊治。体检:胸廓基本对称,左侧胸腔叩诊浊音,全身表浅淋巴结不大。B超:左侧胸腔积液。X线表现为左侧第一前肋以下呈均匀一致,密度增高影像;心影及 Pleural mesothelioma is a rare tumor that originates in pleural mesothelial tissue or subpleural mesenchymal tissue. According to the tumor growth pattern, it is divided into two types: localized pleural mesothelioma and diffuse malignant mesothelioma, which are obviously related to prognosis. The former are mostly benign or low-grade; the latter are highly malignant. The disease can occur at any age, but the most 40-60 years old, more men than women. 1. Case Introduction The patient, female, is 72 years old. Chest pain in February, short chest tightness for 1 week, poor appetite, weight loss. After a number of hospitals diagnosed as tuberculous pleurisy, multiple pumping for bloody, no significant effect of anti-spasmodic treatment. March 12, 1995 into our hospital for treatment. Physical examination: Basic thoracic symmetry, percussion on the left side of the thorax with dullness, and superficial superficial lymph nodes. Ultrasound: left pleural effusion. The X-ray appearance is uniform and consistent below the left first front rib, and the density increases; the heart shadow and