Malignant pleural mesothelioma: a survival study

J Surg Oncol. 1990 Sep;45(1):40-2. doi: 10.1002/jso.2930450109.

Abstract

Ninety-four patients with malignant pleural mesothelioma were treated at Southern California Permanente Medical Group Facilities between 1965 and 1988. This retrospective analysis of survival in these patients is compared according to surgical and/or supportive management. Group I patients received supportive care only, including pleurodesis as needed. This group included the majority of patients. Group II patients were managed largely with debulking procedures including decortication and pleurectomy. Group III patients received extrapleural pneumonectomy. This group included the two long-term survivors of the entire group. This study of survival points out the need for a cooperative protocol as well as the consistent use of proper modern preoperative staging in an attempt to select patients who benefit from extrapleural pneumonectomy.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • California / epidemiology
  • Female
  • Humans
  • Male
  • Mesothelioma / mortality*
  • Mesothelioma / surgery
  • Middle Aged
  • Palliative Care
  • Pleural Neoplasms / mortality*
  • Pleural Neoplasms / surgery
  • Retrospective Studies
  • Survival Rate