Outcome after extrapleural pneumonectomy for malignant pleural mesothelioma

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Extrapleural pneumonectomy in malignant pleural mesothelioma.

Standard treatment for malignant pleural mesothelioma (MPM) has not been proved yet. However, it has been recognized that extrapleural pneumonectomy (EPP) is a treatment of choice for epithelial MPM when combined with adjuvant therapies though EPP may frequently cause fetal complications. We report 5 cases of MPM with EPP, including 1 with good prognosis. Sixteen patients with MPM were admitted...

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Video-assisted thoracoscopic extrapleural pneumonectomy for malignant pleural mesothelioma.

Ann Cardiothorac Surg 2012;1(4):533 www.annalscts.com This video demonstration represents our first attempt at video-assisted thoracoscopic extrapleural pneumonectomy (EPP) for a 51-year-old patient with right-sided malignant pleural mesothelioma following neoadjuvant chemotherapy (Video 1). While originating as an initial inspection for a possible radical decortication, it was apparent that th...

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Extrapleural pneumonectomy or pleurectomy/decortication for malignant pleural mesothelioma

Malignant pleural mesothelioma (MPM) is associated with a very poor prognosis. Unlike other solid tumors, any type of planned surgery for MPM would be cytoreductive rather than radical. There are two types of surgery for MPM. Extrapleural pneumonectomy (EPP) involves en bloc resection of the lung, pleura, pericardium, and diaphragm. Pleurectomy/decortication (P/D) is a lung-sparing surgery that...

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Hemithoracic intensity-modulated radiotherapy using helical tomotherapy for patients after extrapleural pneumonectomy for malignant pleural mesothelioma.

Postoperative hemithoracic irradiation is regarded as an important part of the curative treatment for resectable malignant pleural mesothelioma (MPM). Because the clinical target volume in postoperative MPM is irregular and surrounded by dose-limiting critical structures, intensity-modulated radiation therapy (IMRT) is thought to be suitable. However, postoperative hemithoracic IMRT remains exp...

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Clinical experience of volumetric modulated arc therapy for malignant pleural mesothelioma after extrapleural pneumonectomy

The purpose of this study was to evaluate the efficacy and safety of volumetric modulated arc therapy (VMAT) after extrapleural pneumonectomy (EPP) in patients with malignant pleural mesothelioma (MPM). A total of 15 patients who received VMAT after EPP were enrolled. All patients were males, and the median age was 67 years (Stage IB in two, II in six, and III in seven patients). The clinical t...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2008

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2008.03.003