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经手术病理证实的胸膜间皮瘤18例,其中良性5例，恶性13例，局限型7例，弥漫型11例，本病术前误诊率高．本组误诊8例。18例均行手术治疗，术后3例失访。本病诊断主要依靠胸水的检查和胸膜活检：局限型胸膜间皮瘤一经确诊，主张早期手术；弥漫型确诊后如患者全身情况允许，应行广泛手术切除及术后综合治疗，以利于延长患者生命。
18 cases of pleural mesothelioma confirmed by pathology, including 5 cases of benign, 13 cases of malignant, 7 cases of localized, diffuse 11 cases, the preoperative rate of misdiagnosis of this disease is high. This group was misdiagnosed in 8 cases. All 18 cases underwent surgical treatment, and 3 cases were lost after surgery. Diagnosis of the disease mainly depends on pleural effusion examination and pleural biopsy: localized pleural mesothelioma once diagnosed and advocates early surgery; after diffuse diagnosis, if the patient’s general condition allows, extensive surgical resection and postoperative comprehensive treatment should be performed to facilitate prolonged patient life.