Abstract:
INTRODUCTION:Malignant pleural mesothelioma (MPM) is a rare and highly aggressive disease, whose incidence is increasing. Asbestos is the primary causal agent. STATE OF KNOWLEDGE:Knowledge about MPM has evolved. Thoracoscopy is essential for diagnosis of MPM. It allows performing pleural biopsies, to study the extent of the disease and to relieve dyspnea. The pathological diagnosis is also better codified with immunohistochemistry and with analysis by expert of Mesopath group. Curative surgical treatments are pleurectomy decortication and extended pneumonectomy in combination with chemotherapy and/or radiotherapy. Those heavy treatments improve survival in highly selected patients. For the other patients, supportive measures will be considered to reduce pain and dyspnea. PROSPECT:Radical surgical treatment is only offered in therapeutic trials or multimodal treatment. Its place is not formally established. New therapies associated to surgical treatment are being studied. CONCLUSIONS:Surgical management of MPM has to be operated in specialized teams where the survival benefit and quality of life is discussed case by case.
journal_name
Rev Pneumol Clinjournal_title
Revue de pneumologie cliniqueauthors
Fournel L,Janet-Vendroux A,Canny-Hamelin E,Mansuet-Lupo A,Guinet C,Bobbio A,Damotte D,Alifano Mdoi
10.1016/j.pneumo.2018.09.006subject
Has Abstractpub_date
2018-10-01 00:00:00pages
351-358issue
5eissn
0761-8417issn
1776-2561pii
S0761-8417(18)30212-8journal_volume
74pub_type
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