Discussion: heart, pericardium tumor is a rare disease, primary tumors found in autopsy or about 1 / 2000. The clinical manifestations of cardiac tumor was non-specific, susceptible to misdiagnosis. In this case, the early onset, only a bloody pericardial effusion in performance in the 1st line of the hospital thoracotomy stylish dissection of pericardial adhesions failed to find the cancer, according to TB patients to anti-tuberculosis + hormone therapy to alleviate a certain condition , it has been misdiagnosed, and more than one month after the hospital again, echocardiography tumor was found and the autopsy confirmed pericardial mesothelioma. Mesothelioma occurs more in the clinical pleura, pericardium and mediastinum can be involving, primary pericardial mesothelioma is especially rare. Pleural effusion pleural mesothelioma mostly bloody, high proportion of high protein content, glucose and pH, often reduce the high level of hyaluronic acid, and LDH. Such as pleural effusion of hyaluronidase significantly increased, suggesting that malignant mesothelioma. In this case the change is also consistent with pericardial effusion pleural mesothelioma pleural effusion, indicating a characteristics of pericardial effusion mesothelioma pleural mesothelioma with pleural effusion is characterized by consistent, which provides for the early diagnosis of disease based on more .
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