Patient: I started coughing in September 2009, so I went to a small hospital nearby to take medicine, and then to a large hospital to take medicine, but after that, I went back to the hospital to take medicine. How much does it cost? The doctor said that there is something growing in the mediastinum and that I should go to your hospital for a mediastinoscopy to confirm the diagnosis. Doctor: Hello! Your CT film is hard to see online, and it feels like the tumor has a dense relationship with the pericardium. If the tumor does not invade the surrounding tissues, it is recommended to do thoracoscopic surgery directly to remove it. The trauma is much smaller than traditional open heart surgery, and the cost is also less, more than 20,000 if it goes smoothly. If the tumor invades the surrounding tissues, if it can be removed surgically, it can be removed directly by open thoracotomy, you may belong to this situation. If the tumor invades the surrounding tissues and is difficult to be removed surgically, we suggest mediastinoscopic biopsy and chemotherapy or radiotherapy after clear pathology. The cost is about 15,000.