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Modern Surgical Techniques In Malignant Pleural Mesothelioma
Published 2016 · Medicine
Treatment options for patients with malignant pleural mesothelioma (MPM) include surgery, radiation therapy (RT), and/or chemotherapy. Multimodality treatment of MPM with surgery, radiation therapy, and adjuvant or neoadjuvant chemotherapy is the sole path to extended survival for select patients with favorable prognostic factors. If MPM is in a resectable stage (stage I–III), macroscopic complete resection (MCR) – realized as extrapleural pneumonectomy (EPP) or radical pleurectomy/decortication (P/D) – is the basic concept for surgical approach. MCR is the basic concept, and the technique chosen has to be tailored according to the patient’s performance status and wish, stage of disease in terms of possible MCR, and available combination modalities [1–3].