恶性胸膜间皮瘤多为血性或浆液纤维素性胸腔积液,胶冻样少见。现将1例表现为胶冻样胸水的恶性胸膜间皮瘤报道如下。1病历摘要男,28岁。主因发热1个月余于2010-07-13入北京天坛医院。入院前1个月余患者不明原因出现发热,T 37.8℃,伴有干咳、盗汗,无寒战及胸痛。入院前20 d出现喘憋,活动后加重。于当地医院行肺CT示:左侧胸腔积液。胸水常规:黄色,李凡他试验弱阳性,考虑结核性胸膜 Malignant pleural mesothelioma mostly bloody or serous cellulose pleural effusion, jelly-like rare. A case of malignant pleural mesothelioma jelly-like pleural effusion now reported as follows. 1 medical record summary male, 28 years old. Mainly due to fever more than 1 month in 2010-07-13 into the Beijing Tiantan Hospital. More than 1 month before admission, patients with fever unexplained, T 37.8 ℃, accompanied by dry cough, night sweats, no chills and chest pain. 20 d before admission, wheezing, increased activity. Lung CT at the local hospital showed: pleural effusion on the left. Pleural fluid routine: yellow, Li where he weak positive test, consider tuberculous pleura