Non-incisional pleurectomy/decortication could be the wave of the future for malignant mesothelioma treatment. Environmental health experts in Japan say it is possible to remove the diseased pleural lining in a person with mesothelioma without making incisions that could spread their cancer. The procedure is called non-incisional pleurectomy/decortication. It is a new way to perform mesothelioma surgery that may be safer, faster, and more effective. Japanese researchers recently published a report on their experience with the technique. The report appears in the newest issue of General Thoracic and Cardiovascular Surgery. Surgical Treatment of Pleural Mesothelioma Pleural mesothelioma is the most common form of asbestos cancer. It occurs on the pleura, a thin membrane surrounding the lungs. From there, pleural mesothelioma can … Continue reading Non-Incisional Pleurectomy/Decortication for Mesothelioma
The two major types of mesothelioma surgeries carry similar risk of death, according to a new study from cancer researchers in Japan. One surgery involves removing the diseased pleural lining and one of the lungs. The other surgery removes many of the same tissues but leaves the lungs intact. Surgeons around the world are divided as to which of these mesothelioma surgeries is best. Mesothelioma patients have more complications with lung-removing surgery. But some studies suggest it could lead to longer survival. The 4-year Japanese study included more than 600 patients. It suggests that the likelihood of dying is similar with either of these mesothelioma surgeries. Surgical Treatment of Pleural Mesothelioma Pleural mesothelioma is the most common type of asbestos … Continue reading Mesothelioma Surgeries Carry Similar Mortality Risk, Study Finds
A new study finds that mesothelioma recurrence after PD surgery is common but most patients still live for more than a year afterwards. More than a third were still alive three years after recurrence. The study included 90 Japanese patients with malignant pleural mesothelioma. Those who lived for at least a year without mesothelioma recurrence after PD surgery had the best chance of longer term survival. A good performance status and undergoing additional treatment were also key to better outcomes. Understanding Pleurectomy with Decortication (PD) Surgery Pleural mesothelioma is a virulent cancer that occurs on the membrane around the lungs. There is no cure for mesothelioma. Even with the best treatment, the cancer usually comes back. The goal of most … Continue reading Mesothelioma Recurrence After PD Surgery
A new report contains some hopeful news about biphasic mesothelioma survival. Biphasic mesothelioma is the rarest subtype of a rare cancer. It is also the subtype that is hardest to treat. Biphasic mesothelioma survival is typically shorter than other subtypes. But Italian researchers say, with the right combination of mesothelioma treatments, patients with this subtype can achieve long-term survival. Subtypes and their Impact on Biphasic Mesothelioma Survival All pleural mesothelioma tumors grow on the membrane that surrounds the lungs. When this membrane is healthy, it is flexible and expands naturally with each breath. When a mesothelioma tumor grows on this membrane, it can restrict the lungs and make it hard to breathe. As tumors grow, mesothelioma can spread to other … Continue reading Biphasic Mesothelioma Survival Possible in Select Patients
A new analysis of pleurectomy/decortication suggests that the most radical form of the surgery produces the best results for mesothelioma patients, but also carries the greatest risk. Pleurectomy/decortication or P/D involves the removal of the pleural lining where malignant mesothelioma grows. Removing all or part of the lining frees up the lungs to expand again, relieving life-limited mesothelioma symptoms such as shortness of breath. But, as the Australian researchers found in their mesothelioma analysis, the varying degrees of P/D can make it difficult to accurately compare the method to the more extensive lung-removing surgery or even to get an accurate picture of P/D outcomes. Extended or ‘radical’ P/D involves removing the entire pleural lining, while partial P/D involves removing only part … Continue reading P/D for Mesothelioma: Are the Studies Accurate?
The combination of pleurectomy/decortication, hyperthermic pleural lavage and adjuvant chemotherapy is an effective alternative to more traditional mesothelioma treatment combinations. So say the London scientists who tested the method on 36 mesothelioma patients over a five-and-a-half year period. The mesothelioma patients were all treated at a London hospital between October 2004 and May 2010. Each patient first underwent pleurectomy/decortication, a surgical method for removing as many malignant mesothelioma tumor cells as possible. The method is considered by many to be a safer alternative to the more extensive surgery called extrapleural pneumonectomy, which involves removing a lung and part of the diaphragm. Before their surgical wounds were closed, each patient’s chest cavity was rinsed with a warmed povidone-iodine solution, designed to … Continue reading Multi-Modality Mesothelioma Treatment Well Tolerated