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心包间皮瘤罕见,报告一例如下: 王××,女,17岁,1982年6月17日入院。半年前于左前胸发现一胡桃大肿物,不活动,行路较快时心慌。曾抗痨治疗一月无效,来院就诊时肿物已增大一倍余。无石棉接触史。查体见胸骨左侧第三肋间突出一实性肿块,7×7cm(图1),中等硬度。正位胸片见主动脉弓下有一直径14cm球形阴影突入两侧胸腔,心尖部向左扩大(图2);侧位片球影位于前纵隔(图3)。透视下无扩张性搏动。7月9日中午突然右胸刀割样痛,放射到右上腹,伴气短、心慌,面色苍白,不能平卧。胸片右肺中下野大片密度增高阴影,心脏明显变宽左移。右胸穿刺为血性液体,不凝固。次日手术,胸骨前纵行弧形切口,肌层下为6cm直径肿瘤,无包膜,鱼肉样,松脆易碎,有直径3cm之蒂,在
Pericardial mesothelioma of the pericardium is rare. One case was reported as follows: Wang ××, female, 17 years old, admitted to hospital on June 17, 1982. Half a year ago, a large walnut mass was found on the left anterior chest. He was inactive and palpated when he walked quickly. The anti-caries therapy was ineffective in January, and the mass had increased by more than one time when he came to the hospital. Non-asbestos exposure history. The physical examination revealed a solid mass on the left third intercostal space of the sternum, 7 x 7 cm (Figure 1), medium hardness. In the right chest radiograph, a 14 cm diameter spherical shadow protrudes into the thoracic cavity from both sides of the aortic arch, and the apex of the heart apex expands to the left (Fig. 2); the lateral lens is located in the anterior mediastinum (Fig. 3). No dilational pulsation under fluoroscopy. At noon on July 9th, suddenly the right chest knife was cut and pained, radiating to the right upper abdomen, with shortness of breath, palpitation, pale, can not lie. The chest X-ray showed a large shadow density in the middle and lower regions of the right lung, and the heart became widened to the left. The right chest puncture is a bloody fluid and does not coagulate. The following day of surgery, the arcuate incision was made in the front of the sternum, and the tumor was 6cm in diameter under the muscular layer. No capsule, fish-like, crisp and fragile, with a diameter of 3cm, in