Mesothelioma Treatment

Expert surgical treatment for malignant pleural mesothelioma with multimodal therapy

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About Malignant Pleural Mesothelioma

Malignant pleural mesothelioma (MPM) is a rare but aggressive tumor that originates from the pleura. Shortness of breath, cough, and pain in the chest due to an accumulation of fluid in the pleural space (pleural effusion) are often symptoms of pleural mesothelioma.

Multimodal therapies have been adapted for MPM, including surgery, chemotherapy and radiotherapy. The surgical goal for MPM is cytoreductive surgery to achieve microscopic complete resection.

Important Note

Mesothelioma is often associated with asbestos exposure. Early diagnosis and aggressive treatment are crucial for optimal outcomes.

Our multidisciplinary team provides comprehensive care combining the latest surgical techniques with coordinated medical and radiation therapy for the best possible outcomes.

Cytoreductive Surgery

Complete microscopic resection when possible

Multimodal Therapy

Combined surgery, chemotherapy, and radiation

Expert Care

Specialized mesothelioma treatment team

Comprehensive Support

Complete care throughout treatment journey

Surgical Treatment Options

Surgical resection for patients with MPM can include either of two main approaches:

Pleurectomy/Decortication (P/D)

Lung-sparing surgery with complete removal of involved pleura and all gross tumor.

Procedure Details:

  • Complete removal of parietal pleura
  • Removal of visceral pleura
  • Preservation of the lung
  • Removal of all visible tumor

Preserves lung function while achieving tumor removal

Extrapleural Pneumonectomy (EPP)

En-bloc resection of involved pleura, lung, ipsilateral diaphragm, and often the pericardium.

Procedure Details:

  • Removal of entire affected lung
  • Resection of parietal and visceral pleura
  • Diaphragm reconstruction
  • Pericardial resection when needed

Most aggressive approach for extensive disease

Multimodal Treatment Approach

The most effective treatment for mesothelioma combines multiple therapeutic modalities:

Surgery

Cytoreductive surgery to remove all visible tumor

  • Pleurectomy/Decortication
  • Extrapleural Pneumonectomy
  • Heated intraoperative chemotherapy
  • Reconstruction procedures

Chemotherapy

Systemic treatment to target microscopic disease

  • Neoadjuvant chemotherapy
  • Adjuvant chemotherapy
  • Targeted therapy options
  • Immunotherapy protocols

Radiotherapy

Radiation treatment to control local disease

  • Intensity-modulated radiation
  • Hemithoracic radiation
  • Stereotactic body radiation
  • Palliative radiation

Treatment Goals & Outcomes

Primary Objectives

Main goals of mesothelioma treatment.

  • Achieve microscopic complete resection
  • Maximize survival outcomes
  • Preserve quality of life
  • Control symptoms effectively

Long-term Outcomes

Expected results from comprehensive treatment.

  • Improved overall survival
  • Better symptom control
  • Enhanced quality of life
  • Reduced disease recurrence

Diagnosed with Mesothelioma?

Schedule a consultation with our expert team to discuss your diagnosis and comprehensive treatment options.

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