Primary mesothelioma of the pericardium is a rare tumor. It may occur in diffuse and localized forms. Most of the pericardial mesotheliomas are multiple or diffuse with growth encasing the heart; localized form uncommon. We report a diffuse mesothelioma of the pericardium in a 46-year-old fireman. The patient underwent a pericardiotomy and biopsy confirmed the diagnosis.
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