Induction chemotherapy, extrapleural pneumonectomy
and adjuvant radiotherapy for malignant pleural mesothelioma.
Risk factors for tachyarrhythmias are previous general health status (cardiovascular comorbidity, limited pulmonary reserve), type of surgical intervention (extensive resection, intrapericardial pneumonectomy, extrapleural pneumonectomy
, anesthetics, and bleeding), previous oncology treatment (chest radiotherapy), older age, and procedures associated with pericardial inflammation, especially dissection around the atria .
Tumor Size.--For pleural mesotheliomas that are received as radical surgical (extrapleural pneumonectomy
or pleurectomy/decortication) specimens, attempting to mea sure the dimensions of individual tumor nodules is neither simple (because the distinction between tumor and fibrotic reaction may be difficult to assess) nor informative.
is indicated in some cases of malignant mesothelioma and tuberculous empyema and involves resection of lung and parietal pleura with prosthetic reconstruction.
An extrapleural pneumonectomy
is usually performed for stage I disease, when the tumor is limited to one hemithorax, invading the pleura and involving the lung, endothoracic fascia, diaphragm, or pericardium.
The treatment available includes surgey, pleurectomy/decortication, extrapleural pneumonectomy
, chemotherapy, and radiation therapy.