Mesothelioma Experts Take Aim at Radical Surgery
There is disagreement among some of the world’s top mesothelioma experts about the value of the radical surgical treatment known as extrapleural pneumonectomy (EPP). An asbestos-linked malignancy, pleural mesothelioma grows in a thin sheet across the membranous tissue surrounding the lungs. The cancer may eventually spread to the lung tissue, as well. Fluid buildup and stiffening off the mesothelium by the tumor cells makes it impossible for the lungs to expand normally. Introduced in the 1940’s and modified over the years, EPP involves removal of not only the diseased pleural tissue, but the lung closest to it, the lymph nodes, and portions of the covering of the heart (pericardium) and the diaphragm. Despite a 60 percent complication rate, the radical…