[Malignant pleural mesothelioma: The role of surgery]. / Mésothéliome pleural malin : place de la chirurgie.
Rev Pneumol Clin
; 74(5): 351-358, 2018 Oct.
Article
em Fr
| MEDLINE
| ID: mdl-30316650
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.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Neoplasias Pleurais
/
Procedimentos Cirúrgicos Torácicos
/
Neoplasias Pulmonares
/
Mesotelioma
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Fr
Revista:
Rev Pneumol Clin
Ano de publicação:
2018
Tipo de documento:
Article