Precision Medicine in Thoracic Surgery: Chest Wall, Pleural, and Mediastinal Malignancies

Constantine M Poulos1, Elliot L Servais2

  • 1Division of Thoracic Surgery, Nuvance Health, Danbury, CT, USA.

Thoracic Surgery Clinics
|October 30, 2025
PubMed

Insights

Precision medicine is advancing rare thoracic cancers by targeting unique tumor alterations. This approach aims to improve surgical outcomes and survival for patients with chest wall tumors, mesothelioma, and thymic cancers.

Area of Science:

  • Oncology
  • Genomics
  • Thoracic Surgery

Background:

  • Precision medicine has revolutionized common cancer care.
  • Rare thoracic malignancies, including mesothelioma and thymic tumors, have lagged in progress due to rarity and heterogeneity.
  • Unique tumor biology presents opportunities for targeted therapies.

Purpose of the Study:

  • To review the current precision medicine landscape for rare thoracic tumors.
  • To highlight strategies and future directions for neoadjuvant and adjuvant therapies.
  • To discuss the potential of targeted treatments to improve outcomes in these cancers.

Main Methods:

  • Literature review of precision medicine applications in rare thoracic malignancies.
  • Analysis of current targeted therapy strategies.
  • Examination of neoadjuvant and adjuvant treatment settings.

Main Results:

  • Advances in precision medicine offer new therapeutic avenues for rare thoracic tumors.
  • Targeted therapies show potential to enhance surgical outcomes and patient survival.
  • Heterogeneity of these rare cancers necessitates tailored treatment approaches.

Conclusions:

  • Precision medicine holds significant promise for improving the management of rare thoracic cancers.
  • Further research into unique molecular alterations is crucial for developing effective targeted therapies.
  • Integrating precision medicine into neoadjuvant and adjuvant settings may optimize treatment efficacy.