The role of surgery in the management of mesothelioma
Name : The role of surgery in the management of mesothelioma.
Category : Health
Files Source: www.mccn.nhs.uk
File Added : June 30, 2010
Size : 5 MB
Download : 372
This online powerpoint files contain an information about surgery in the management of mesothelioma, Diagnostic Thorocoscopy, Pleurectomy and Decortication, Radical surgery Extra Pleural Pneumonectomy, Surgery for Mesothelioma After Routine Therapy, and other.
Content Summary:
” Introduction
* Incidence increasing
* Expected to peak in 2020
* 1% men born in 1940’s may develop malignant mesothelioma
* Poor prognosis; 5-14 months after symptoms
Prognostic factors
* Epithelial variant
* Younger age
* Good performance status
* Early stage disease
* Lack of chest pain at diagnosis
Surgery for Mesothelioma
* Diagnostic
* Palliative
* Radical
Diagnosis
* Percutaneous needle biopsy 40 – 69 %
* Combined with cytology 80 – 90 %
* Thoracoscopic pleural biopsy 80 – 100% +/- talc
Pre & Post talc pleurodesis
Pleurectomy/decortication
* Patients with comorbid conditions precluding more aggressive surgery (EPP)
* Advanced disease and clearly unresectable
* Drain and prevent recurrence of pleural effusion
* Cytoreductive
Pleurectomy and Decortication
* Lung left behind
* Remove all gross evidence of tumour
* Pericardium and diaphragm left behind if they can be separated from the pleura
* Aim to get the lung fully expanded
* Used for palliation and cure[..]“…..Download for more information!!
