【摘要】 以反复性自发性气胸为表现的恶性胸膜间皮瘤是非常少见的。报告1例我院收治的以反复性自发性气胸为表现的恶性胸膜间皮瘤患者，并进行国内外相关文献复习。患者女性，59岁，因胸闷、气短1周就诊，胸片显示左侧大量气胸，行胸腔闭式引流治疗。既往4月左侧自发性气胸复发2次，否认有石棉接触史。胸腔镜探查显示未见肺大疱及肺漏气，胸膜无明显增厚，脏层及壁层胸膜可见散在灰白结节，胸膜结节组织活检病理示恶性间皮瘤。结合此例患者特点和文献复习，对于反复性自发性气胸的老年患者，临床医生需要认识到恶性胸膜间皮瘤的不典型表现。更多还原

【Abstract】 Malignant pleural mesothelioma(MPM) presenting as recurrent spontaneous pneumothorax was rare. One case of MPM presenting as recurrent spontaneous pneumothorax treated in the department of thoracic surgery, was reported and related literatures were reviewed. A 59-yearold woman, pneumothorax recurred twice in 4 months and no asbestos exposure, who presented with shortness of breath more than 1 week underwent the drainage for left pneumothorax. Chest X-ray showed massive pneumothorax in the left hemithorax. Further video-assisted thoracoscopic surgery(VATS) revealed scattered with multiple nodules in pleura and histology confirmed MPM, but no bullae, blebs, and air leakage points were seen during the procedure. Combined with the characteristics of this patient and review of the literatures, clinicians was aware of atypical presentations of MPM presenting as recurrent spontaneous pneumothorax in the olderly patient.更多还原