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Mesothelioma is a rare and aggressive cancer. One of the primary mesothelioma causes is asbestos exposure. The cancer develops in the mesothelium, a protective membrane that lines three body cavities: the thoracic cavity (pleura), abdominal cavity (peritoneum) and the heart sac (pericardium). In the case of testicular mesothelioma, the cancer develops in the tunica vaginalis, the membrane surrounding the testicles.