Pleural Mesothelioma Surgery Options



Pleural mesothelioma, a type of cancer affecting the lining of the lungs, can be treated with three primary debulking surgeries. These surgical procedures aim to remove as much of the cancerous tissue as possible to alleviate symptoms and improve the patient’s quality of life. The three common debulking surgeries for pleural mesothelioma are:

  1. Pleurectomy: This surgery involves the removal of the affected pleura, the thin membrane surrounding the lungs and lining the chest cavity. The goal is to reduce tumor burden, alleviate symptoms like difficulty breathing, and prevent the spread of the disease.
  2. Extrapleural Pneumonectomy (EPP): This aggressive procedure involves the removal of the entire lung affected by mesothelioma, the associated pleura, parts of the diaphragm, and the pericardium (the lining around the heart). EPP is usually reserved for cases where the disease has not extensively spread beyond the lung and chest area.
  3. Decortication: Decortication is a more limited surgery that aims to remove the tumor from the surface of the lung and chest wall. This procedure is considered when a full pleurectomy or EPP is not feasible due to the extent of the disease or the patient’s overall health.

It’s important to note that treatment decisions for mesothelioma are made on an individual basis, taking into account factors such as the stage of the disease, the patient’s overall health, and their preferences. Additionally, advancements in medical research and technology may lead to new treatment options becoming available in the future. Therefore, patients should always consult with their healthcare team to determine the most appropriate treatment plan for their specific case.