Mesothelioma Research On Secondary Surgery Following Tumor Recurrence

Wednesday, December 30th, 2009

Recently published in a January 2010 issue of The Annals of Thoracic Surgery, a investigate patrician Second Surgery for Recurrence of Malignant Pleural Mesothelioma After Extrapleural Pneumonectomy has found churned formula upon a efficiency of delegate operation in mesothelioma patients.

Italian researchers retrospectively evaluated a outcomes of 74 malignant pleural mesothelioma (MPM) patients treated with extrapleural pneumonectomy (EPP), following a surgical management of their plain tumor recurrences.

Follow-up interpretation was accessible for 57 patients. Of a 57 malignant mesothelioma patients with follow-up data, eleven patients gifted a plain tumor regularity (1.5 to twelve years after a initial treatment). Of a eleven patients with tumor recurrence, a total of 8 showed sufficient clinical illness to undergo a delegate operation with curative intentions.

The authors of a investigate report which Chest wall resection was achieved in 4 cases of parietal recurrence, radical retroperitoneal resection was finished in 3 cases of retroperitoneal relapse, as well as segmental resection of a remaining lung was finished in one case of pulmonary metastasis.

These 8 patients exhibited a median presence after delegate operation of 14.5 months (from a range of 6 to 29 months). The investigate found no association between presence as well as a location of a tumor recurrence, age or disease-free interval.

The researchers concluded, In this series, a second operation did not offer a approaching presence good of curative diagnosis strategies as well as should thus be considered palliative. Second operation might be a diagnosis choice in a subset of patients who experience a plain regularity of MPM which is symptomatic or near critical organs as well as who cannot undergo additional radiotherapy.

Additional information about mesothelioma might be found by a Mesothelioma Center.

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