Diffuse Pleural Mesothelioma: Advances in Molecular Pathogenesis, Diagnosis, and Treatment

Christopher A Febres-Aldana1, Rachel Fanaroff1, Michael Offin2

  • 1Department of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA; email: yangs2@mskcc.org, ladanyim@mskcc.org.

Annual Review of Pathology
|September 18, 2023
PubMed

Insights

Diffuse pleural mesothelioma (DPM) is an aggressive cancer linked to asbestos. Advances in understanding its molecular causes and treatment are transforming clinical practice for this complex disease.

Area of Science:

  • Oncology
  • Pathology
  • Pulmonology

Background:

  • Diffuse pleural mesothelioma (DPM) is a rare but aggressive cancer originating in the lung lining.
  • Asbestos exposure is the primary known risk factor for DPM development.
  • Recent molecular and clinical research has improved understanding and management of DPM.

Purpose of the Study:

  • To provide a comprehensive review of current concepts and emerging trends in DPM.
  • To cover key aspects including risk factors, pathobiology, histologic subtyping, and therapeutic strategies.
  • To emphasize the importance of a multidisciplinary approach for managing DPM.

Main Methods:

  • Literature review of recent advances in DPM research.
  • Synthesis of information on molecular pathogenesis, epidemiology, and clinical management.
  • Focus on current diagnostic criteria and therapeutic options.

Main Results:

  • DPM pathogenesis is increasingly understood at a molecular level.
  • Histologic subtyping impacts prognosis and treatment selection.
  • Multidisciplinary care is crucial for optimal patient outcomes.

Conclusions:

  • Advances in understanding DPM molecular biology are reshaping clinical practice.
  • Accurate histologic subtyping and a multidisciplinary approach are essential for effective DPM management.
  • Continued research is vital for improving outcomes in diffuse pleural mesothelioma.