Multimodal management of malignant pleural mesothelioma: where are we today?
Malignant pleural mesothelioma is an uncommon tumour arising from the parietal pleura and is characterised by a peculiar growth pattern extending along the pleural surface from the costodiaphragmatic sinus, where frequently a large amount of tumour is found, to the apical region of the chest
Malignant pleural mesothelioma is an uncommon tumour arising from the parietal pleura and is characterised by a peculiar growth pattern extending along the pleural surface from the costodiaphragmatic sinus, where frequently a large amount of tumour is found, to the apical region of the chest
Surgery with curative intent To remove as much tumour as possible, different surgical procedures exist in order to obtain a macroscopic complete resection or maximal debulking with the intent to improve local control and prolong disease-free survival
The role of extensive surgical treatment is currently redefined in mesothelioma patients and no definite guidelines can yet be provided
Every patient with suspicion of mesothelioma should be discussed by a multidisciplinary tumour board to provide a tailored diagnostic and therapeutic plan
More attention should be paid to quality control and selection criteria of multimodality treatment comprising extensive surgical procedures
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