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Implantation and Monitoring by PET/CT of an Orthotopic Model of Human Pleural Mesothelioma in Athymic Mice
Published on: December 21, 2019
[Malignant pleural mesothelioma]
O Kawamata1, Y Kondu, T Murata
1Department of Surgery, Onomichi Municipal Hospital, Onomichi, Japan.
Abstract:
Malignant pleural mesothelioma carries a poor prognosis, for which no standard therapy has been established. We report 15 cases of malignant pleural mesothelioma experienced since 2000 focusing on their clinical features. They included 14 male and 1 female aged 38 to 81 (62.8 on average) years. All patients were diagnosed by pleural biopsy under thoracoscopic guidance. Histology of the pleural biopsy specimen showed epithelial mesothelioma in 8 patients, biphasic mesothelioma in 3, sarcomatous mesothelioma in 2 and desmoplastic malignant mesothelioma (DMM) in 2. Twelve patients received chemotherapy. Of these, 3 were followed by surgery. In addition to 2 of these 3 patients, 2 underwent extrapleural pneumonectomy (EPP) without adjuvant treatment. Remaining 1 received palliative treatment only. As a result, 6 patients are surviving, 7 died of primary diseases and 2 died of other diseases. The longest survival time with chemotherapy is 41 months in a surviving patient with epithelial mesothelioma and that with EPP is 25 months in a surviving patient with DMM. The 2-year survival rate of the 14 patients was 44.4% and the median survival time in patients with epithelial mesothelioma was 30.6 months.
Insights
This study reviewed 15 malignant pleural mesothelioma cases, noting varied histology and treatments. Survival outcomes highlight the need for improved therapeutic strategies for this poor-prognosis cancer.
Area of Science:
- Oncology
- Thoracic Surgery
- Pathology
Context:
- Malignant pleural mesothelioma (MPM) is an aggressive cancer with limited treatment options.
- No established standard therapy exists for MPM, contributing to its poor prognosis.
Purpose:
- To analyze clinical features and outcomes of 15 patients with malignant pleural mesothelioma.
- To evaluate the impact of chemotherapy and extrapleural pneumonectomy (EPP) on survival in MPM patients.
Summary:
- Fifteen MPM cases (14 male, 1 female; age 38-81) were diagnosed via thoracoscopic pleural biopsy.
- Histological subtypes included epithelial (8), biphasic (3), sarcomatous (2), and desmoplastic malignant mesothelioma (DMM) (2).
- Twelve patients received chemotherapy, with 3 undergoing subsequent surgery; 4 had extrapleural pneumonectomy (EPP).
Impact:
- Six patients survived, with the longest survival being 41 months with chemotherapy and 25 months with EPP.
- The 2-year survival rate was 44.4%, and median survival for epithelial mesothelioma was 30.6 months.
- Findings underscore the challenges in MPM treatment and the need for novel therapeutic approaches.
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