DIAGNOSTIC AND THERAPEUTIC STRATEGY IN MALIGNANT PLEURAL MESOTHELIOMA

被引：36

作者：

BRANSCHEID, D

KRYSA, S

BAUER, E

BULZEBRUCK, H

SCHIRREN, J

机构：

[1] Department of Thoracic Surgery, Clinic for Thoracic Medicine, Rohrbach Hospital

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1991年 / 5卷 / 09期

关键词：

PLEURAL MESOTHELIOMA; SURGICAL TREATMENT; PROGNOSIS;

D O I：

10.1016/1010-7940(91)90142-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We retrospectively analysed 301 patients with diffuse malignant pleural mesothelioma (235 male, 66 female; median age 59 years). Prognosis depended significantly on patient age, evidence of pain, loss of weight, tumour cell type, stage, local and distant metastasis, involvement of peritoneum and surgical treatment. The overall median survival rate was 238 days, after extended pleuropneumonectomy 284 days, and after decortication 315 days - significantly better than the prognosis in patients without surgical treatment or exploratory thoracotomy. Pleuropneumonectomy should only be considered in young patients with an epithelial cell-type tumour (possibly with adjuvant chemotherapy). Decortication seems nowadays to be the treatment of choice.

引用

页码：466 / 473

页数：8

共 35 条

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