Mesothelioma Surgery Treatment
Surgery
Patients with Stage I or milder Stage II mesothelioma are generally offered one or more of the conventional cancer treatments: surgery, radiation and chemotherapy. For early-stage patients, surgery for mesothelioma aims to cure the disease by literally cutting the cancer out of the patient's body. The most common type of surgery for pleural mesothelioma is a pleurectomy/decortication, which is where doctors remove all or part of the tissues lining the lungs and chest cavity. If doctors find that they can't remove the cancer without removing the lung underneath those tissues, they may remove one lung as well; this is called a pneumonectomy. A more radical type of surgery for pleural mesothelioma is called an extrapleural pneunonectomy (EPP). In the case of an EPP, surgeons will remove parts of one lung, the pleura, the diaphragm, and the lining of the heart. These are quite dangerous and difficult types of surgery, which will not be recommended lightly by doctors or surgeons.
Patients with peritoneal mesothelioma -- the kind that affects the abdomen -- may be offered cytoredutive surgery. In this surgery, doctors are trying to remove all of the cancerous tissue they can find in the abdomen and gut. They may also choose to do a peritonectomy -- removal of the entire lining of the abdomen. Again, this is not an easy surgery and may not be possible for everyone, but it has been successful in some patients. Patients with pericardial mesothelioma are not generally offered surgery.
Patients with Stage I or milder Stage II mesothelioma are generally offered one or more of the conventional cancer treatments: surgery, radiation and chemotherapy. For early-stage patients, surgery for mesothelioma aims to cure the disease by literally cutting the cancer out of the patient's body. The most common type of surgery for pleural mesothelioma is a pleurectomy/decortication, which is where doctors remove all or part of the tissues lining the lungs and chest cavity. If doctors find that they can't remove the cancer without removing the lung underneath those tissues, they may remove one lung as well; this is called a pneumonectomy. A more radical type of surgery for pleural mesothelioma is called an extrapleural pneunonectomy (EPP). In the case of an EPP, surgeons will remove parts of one lung, the pleura, the diaphragm, and the lining of the heart. These are quite dangerous and difficult types of surgery, which will not be recommended lightly by doctors or surgeons.
Patients with peritoneal mesothelioma -- the kind that affects the abdomen -- may be offered cytoredutive surgery. In this surgery, doctors are trying to remove all of the cancerous tissue they can find in the abdomen and gut. They may also choose to do a peritonectomy -- removal of the entire lining of the abdomen. Again, this is not an easy surgery and may not be possible for everyone, but it has been successful in some patients. Patients with pericardial mesothelioma are not generally offered surgery.
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