The Role of Extrapleural Pneumonectomy in Malignant Pleural Mesothelioma.
The Role of Extrapleural Pneumonectomy in Malignant Pleural Mesothelioma.
Thorac Surg Clin. 2020 Nov;30(4):461-471
Authors: Donahoe LL, de Perrot M
Abstract
Extrapleural pneumonectomy (EPP) is the most extensive form of surgery for mesothelioma, involving en bloc resection of visceral and parietal pleura, lung, diaphragm and pericardium, with reconstruction of the pericardium and diaphragm. It can be performed safely in carefully selected patients. It should be performed in experienced centers as part of a multimodality treatment plan. The SMART approach, with a short course of induction hemithoracic radiation followed by EPP has demonstrated safety and value of hypofractionated hemithoracic radiation combined with complete macroscopic resection. We are conducting a clinical trial with oligofractionated hemithoracic radiation in early-stage mesothelioma.
PMID: 33012433 [PubMed - in process]
Source: Clinical Lung Cancer - Category: Cancer & Oncology Authors: Donahoe LL, de Perrot M Tags: Thorac Surg Clin Source Type: research
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