Current surgical strategies for malignant pleural mesothelioma.

Takuwa, Teruhisa; Hasegawa, Seiki

Malignant pleural mesothelioma (MPM) is associated with a poor prognosis. The main components of multimodality treatment include surgery, chemotherapy, and radiation therapy. Surgery remains controversial. Two procedures are currently offered: extrapleural pneumonectomy (EPP) and pleurectomy/decortication (P/D). The recent scientific literature suggests that P/D is a well-tolerated procedure, with the potential of becoming a default procedure in multimodality regimens. However, the precise treatment schemes and surgical procedures are yet to be established. In our study, we review the advantages and disadvantages of EPP and P/D, summarize the post-EPP and post-P/D observations (including mortality, morbidity, and median survival time), and discuss the choice of surgical technique (EPP vs. P/D). Moreover, we highlight the aspects of the multimodality treatments that are offered to MPM patients, including chemotherapy, radiotherapy, intensity-modulated radiation therapy, and other types of therapy.

MESOTHELIOMA; TUMOR surgery; PNEUMONECTOMY; CANCER radiotherapy; CANCER chemotherapy; THERAPEUTICS

Surgery Today, 2016, Vol 46, Issue 8, p887

0941-1291

Academic Journal

10.1007/s00595-015-1275-3