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==Overview==
==Overview==
The treatment options vary for the different stages, subtypes, and resectability of pleural mesothelioma. The types of treatment given are also based on the unique needs of the individual with cancer.<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>


==Treatment for Pleural Mesothelioma==
==Treatment for Pleural Mesothelioma==
The treatment options varies for the different stages, subtypes, and resectability of pleural mesothelioma. The types of treatment given are also based on the unique needs of the individual with cancer.<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>
The treatment options vary for the different stages, subtypes, and resectability of pleural mesothelioma. The types of treatment given are also based on the unique needs of the individual with cancer.<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>


===Localized or Stage I Pleural Mesothelioma===
===Localized or Stage I Pleural Mesothelioma===
Individuals with localized (stage I) pleural mesothelioma that is considered resectable may be offered, which include:<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>
*Individuals with localized (stage I) pleural mesothelioma that is considered resectable may be offered, which include:<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>
*[[Surgery]]
:*[[Surgery]]
:*Pleurectomy and decortication (P/D)
::*Pleurectomy and decortication (P/D)
:*Extrapleural pneumonectomy (EPP)
::*Extrapleural pneumonectomy (EPP)
*[[Chemotherapy]] after surgery
:*[[Chemotherapy]] after surgery
*[[Radiation therapy]] after extrapleural pneumonectomy
:*[[Radiation therapy]] after extrapleural pneumonectomy
*Individuals with localized (stage I) pleural mesothelioma that is unresectable and people who decide not to have radical surgery may be offered other treatments. Treatments offered to control the disease for as long as possible, manage symptoms, and improve the person’s quality of life may include:<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>
:*Palliative surgical procedures
::*Pleurectomy and decortication for palliation
::*[[Thoracentesis]], [[pleurodesis]], pleuroperitoneal shunt
:*[[Chemotherapy]]
:*[[Radiation therapy]]


Individuals with localized (stage I) pleural mesothelioma that is unresectable and people who decide not to have radical surgery may be offered other treatments. Treatments offered to control the disease for as long as possible, manage symptoms, and improve the person’s quality of life may include:<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>
===Advanced or Stage II, III or IV Pleural Mesothelioma===
*Palliative surgical procedures
*Individuals with advanced (stage II or some stage III) pleural mesothelioma that is considered resectable may be offered:<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>
:*Pleurectomy and decortication for palliation
:*[[Surgery]]
:*Thoracentesis, pleurodesis, pleuroperitoneal shunt
::*Pleurectomy and decortication (P/D)
*[[Chemotherapy]]
::*Extrapleural pneumonectomy
*[[Radiation therapy]]
:*[[Chemotherapy]] before or after surgery
:*Radiation therapy after extrapleural pneumonectomy
*Individuals with advanced (stage II or stage III) pleural mesothelioma that is considered unresectable may be offered, which include:<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>
:*Palliative surgical procedures
::*Pleurectomy and decortication for palliation
::*[[Thoracentesis]], [[pleurodesis]], pleuroperitoneal shunt
:*[[Chemotherapy]]
:*[[Radiation therapy]]
:*Supportive care
*Extensive surgery is not used for stage IV pleural mesothelioma because of the extent of disease at this stage. [[Chemotherapy]] is often the '''mainstay''' of treatment. [[Radiation therapy]] and other supportive care measures, such as [[thoracentesis]] or [[pleurodesis]], may also be used to control symptoms of advanced mesothelioma, control the disease for as long as possible, and improve the individual’s quality of life.


Advanced or stage II, III or IV pleural mesothelioma
==Treatment for Recurrent Pleural Mesothelioma==
 
*If pleural mesothelioma recurs after it has been treated, treatment options depend on:<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>
People with advanced (stage II or some stage III) pleural mesothelioma that is considered operable (resectable) may be offered:
:*the location of the cancer
 
:*the treatments that have already been used
surgery
:*the person’s overall health
pleurectomy and decortication (P/D)
*Treatment options similar to unresectable pleural mesothelioma may be used for recurrent mesothelioma. [[Chemotherapy]] may be used to try to shrink or slow the growth of the cancer and relieve symptoms. Radiation therapy and other supportive care measures may be used to relieve symptoms.<ref name=Treatmentofpleuralmesothelioma1>Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016</ref>
extrapleural pneumonectomy
chemotherapy before or after surgery
radiation therapy after extrapleural pneumonectomy
People with advanced (stage II or stage III) pleural mesothelioma that is considered inoperable (unresectable) may be offered:
 
palliative surgical procedures
pleurectomy and decortication for palliation
thoracentesis, pleurodesis, pleuroperitoneal shunt
chemotherapy
radiation therapy
supportive care
Extensive surgery is not used for stage IV pleural mesothelioma because of the extent of disease at this stage. Chemotherapy is often the mainstay of treatment. Radiation therapy and other supportive care measures, such as thoracentesis or pleurodesis, may also be used to control symptoms of advanced mesothelioma, control the disease for as long as possible and improve the person’s quality of life.
 
Recurrent pleural mesothelioma
 
If pleural mesothelioma comes back (recurs) after it has been treated, treatment options depend on:
 
the location of the cancer
the treatments that have already been used
the person’s overall health
Treatment options similar to unresectable pleural mesothelioma may be used for recurrent mesothelioma. Chemotherapy may be used to try to shrink or slow the growth of the cancer and relieve symptoms. Radiation therapy and other supportive care measures may be used to relieve symptoms.


==References==
==References==
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[[Category:Occupational diseases]]
[[Category:Occupational diseases]]
[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]

Latest revision as of 02:41, 27 November 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

The treatment options vary for the different stages, subtypes, and resectability of pleural mesothelioma. The types of treatment given are also based on the unique needs of the individual with cancer.[1]

Treatment for Pleural Mesothelioma

The treatment options vary for the different stages, subtypes, and resectability of pleural mesothelioma. The types of treatment given are also based on the unique needs of the individual with cancer.[1]

Localized or Stage I Pleural Mesothelioma

  • Individuals with localized (stage I) pleural mesothelioma that is considered resectable may be offered, which include:[1]
  • Pleurectomy and decortication (P/D)
  • Extrapleural pneumonectomy (EPP)
  • Individuals with localized (stage I) pleural mesothelioma that is unresectable and people who decide not to have radical surgery may be offered other treatments. Treatments offered to control the disease for as long as possible, manage symptoms, and improve the person’s quality of life may include:[1]
  • Palliative surgical procedures

Advanced or Stage II, III or IV Pleural Mesothelioma

  • Individuals with advanced (stage II or some stage III) pleural mesothelioma that is considered resectable may be offered:[1]
  • Pleurectomy and decortication (P/D)
  • Extrapleural pneumonectomy
  • Chemotherapy before or after surgery
  • Radiation therapy after extrapleural pneumonectomy
  • Individuals with advanced (stage II or stage III) pleural mesothelioma that is considered unresectable may be offered, which include:[1]
  • Palliative surgical procedures
  • Extensive surgery is not used for stage IV pleural mesothelioma because of the extent of disease at this stage. Chemotherapy is often the mainstay of treatment. Radiation therapy and other supportive care measures, such as thoracentesis or pleurodesis, may also be used to control symptoms of advanced mesothelioma, control the disease for as long as possible, and improve the individual’s quality of life.

Treatment for Recurrent Pleural Mesothelioma

  • If pleural mesothelioma recurs after it has been treated, treatment options depend on:[1]
  • the location of the cancer
  • the treatments that have already been used
  • the person’s overall health
  • Treatment options similar to unresectable pleural mesothelioma may be used for recurrent mesothelioma. Chemotherapy may be used to try to shrink or slow the growth of the cancer and relieve symptoms. Radiation therapy and other supportive care measures may be used to relieve symptoms.[1]

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Treatment of pleural mesothelioma. Canadian cancer scoiety 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/treatment/pleural-mesothelioma/?region=on. Accessed on Februray 10, 2016


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