Taken Together: Effective Multimodal Approaches for Malignant Pleural Mesothelioma

Thorac Surg Clin. 2020 Nov;30(4):481-487. doi: 10.1016/j.thorsurg.2020.08.002.

Abstract

Malignant pleural mesothelioma is an aggressive, deadly cancer often requiring input from multiple medical disciplines. Treatment has evolved over the last several decades with increasing evidence and ongoing advances in chemotherapy, radiation, and immunotherapy; however, no standard treatment regimen has yet been defined. Regardless of the overall strategy, surgery remains the foundation of treatment to remove macroscopic disease, and preservation of lung parenchyma via extended pleurectomy/decortication may be preferable to extrapleural pneumonectomy.

Keywords: Extrapleural pneumonectomy; Multimodal therapy in mesothelioma; Pleurectomy/decortication; Treatment for malignant pleural mesothelioma.

Publication types

  • Review

MeSH terms

  • Chemotherapy, Adjuvant
  • Combined Modality Therapy / methods*
  • Humans
  • Immunotherapy
  • Mesothelioma, Malignant / surgery
  • Mesothelioma, Malignant / therapy*
  • Pleura / surgery*
  • Pleural Neoplasms / surgery
  • Pleural Neoplasms / therapy
  • Pneumonectomy
  • Radiotherapy, Adjuvant
  • Thoracic Surgical Procedures
  • Treatment Outcome