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Updated: Feb 11, 2026

Generation and Expansion of Primary, Malignant Pleural Mesothelioma Tumor Lines
Published on: April 21, 2022
Prospective registry database of patients with malignant mesothelioma: directions for a future Japanese
Yasushi Shintani1, Seiki Hasegawa2, Teruhisa Takuwa2
1Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Background:
The International Association for the Study of Lung Cancer, in collaboration with members of the International Mesothelioma Interest Group (IMIG), developed a large international database and TNM-based system to study malignant pleural mesothelioma (MPM). However, this database has some limitations since it was a retrospective study and it was based predominantly on surgical cases. The Japanese Joint Committee of Lung Cancer Registry (JJCLCR) employs a project of prospective registry database of patients in Japan with MPM in order to clarify MPM's epidemiology, current management practices, and prognosis and also to investigate the potential capabilities to target the best patients for therapy.
Methods:
Tumor stage is described using the 7th and 8th versions of IMIG staging system. This prospective cohort study has been conducted from April 1, 2017 to March 31, 2019.
Discussion:
We will analyze the data in this registry to determine the most recent outcomes and trends related to MPM treatment in Japan. The present prospective study is expected to validate the 8th version of IMIG staging system, and to investigate whether tumor thickness is a reliable T-descriptor.
Trial Registration:
ClinicalTrials.gov Identifier: UMIN 000024664.
Insights
This study establishes a prospective registry for malignant pleural mesothelioma (MPM) in Japan to improve understanding of its epidemiology and treatment. It aims to validate staging systems and assess tumor thickness as a prognostic factor.
Area of Science:
- Oncology
- Thoracic Surgery
- Epidemiology
Background:
- Malignant pleural mesothelioma (MPM) research has been limited by retrospective studies and a focus on surgical cases.
- The International Mesothelioma Interest Group (IMIG) developed a TNM-based staging system, but limitations exist.
- A prospective registry in Japan aims to address these limitations and clarify MPM's epidemiology, management, and prognosis.
Purpose of the Study:
- To establish a prospective registry for MPM patients in Japan.
- To clarify the epidemiology, management practices, and prognosis of MPM.
- To investigate the potential for targeted therapies and validate staging systems.
Main Methods:
- Prospective cohort study conducted from April 1, 2017, to March 31, 2019.
- Utilized the 7th and 8th versions of the IMIG staging system for tumor staging.
- Data analysis of the prospective registry to determine recent outcomes and trends.
Main Results:
- Analysis of registry data is ongoing to determine current outcomes and trends in MPM treatment in Japan.
- The study is expected to validate the 8th version of the IMIG staging system.
- Investigation into tumor thickness as a reliable T-descriptor is a key component.
Conclusions:
- The prospective registry will provide valuable insights into MPM in Japan.
- Validation of the 8th IMIG staging system is anticipated.
- The study will contribute to a better understanding of MPM prognosis and treatment strategies.
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