Malignant peritoneal mesothelioma

Stine Munkholm-Larsen, Christopher Q. Cao, Tristan D. Yan

Research output: Contribution to journalArticle

Abstract

Malignant mesothelioma is a highly aggressive neoplasm. The incidence of malignant mesothelioma is increasing worldwide. Diffuse malignant peritoneal mesothelioma (DMPM) represents one-fourth of all mesotheliomas. Association of asbestos exposure with DMPM has been observed, especially in males. The great majority of patients present with abdominal pain and distension, caused by accumulation of tumors and ascitic fluid. In the past, DMPM was considered a pre-terminal condition; therefore attracted little attention. Patients invariably died from their disease within a year. Recently, several prospective trials have demonstrated a median survival of 40 to 90 mo and 5-year survival of 30% to 60% after combined treatment using cytoreductive surgery and perioperative intraperitoneal chemotherapy. This remarkable improvement in survival has prompted new search into the medical science related to DMPM, a disease previously ignored as uninteresting. This review article focuses on the key advances in the epidemiology, diagnosis, staging, treatments and prognosis of DMPM that have occurred in the past decade.
Original languageEnglish
Pages (from-to)38-48
Number of pages11
JournalWorld journal of gastrointestinal surgery
Volume1
Issue number1
DOIs
Publication statusPublished - 2009
Externally publishedYes

Keywords

  • Asbestos
  • Cisplatin
  • Cytoreductive surgery
  • Doxorubicin
  • Intraperitoneal chemotherapy
  • Mesothelin
  • Pemetrexed
  • Peritoneal mesothelioma
  • Peritonectomy

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