[Radiologic diagnosis and therapy of pleural mesothelioma]

In Germany pleural mesothelioma occurs annually in 100-200 patients who had usually been working in the asbestos industry. In 100 mesotheliomas, evaluated radiologically, 61 presented pleural effusions and 82 a pleural tumour. This may result in retracting the hemithorax. Radiotherapy has a palliative goal. Applying 40 Gy may reduce pain and may inhibit fluid production. The irradiated volume should, if possible, spare lung tissue, which necessitates careful treatment planning.