Article ID Journal Published Year Pages File Type
4216014 Revue des Maladies Respiratoires Actualités 2013 5 Pages PDF
Abstract
Malignant pleural mesothelioma (MPM) is a rare and aggressive tumor, secondary to occupational asbestos exposure. Clinical and radiological signs are unspecific. The diagnosis of MPM is based on histology on biopsies best obtained by thoracoscopy. Prophylactic irradiation of chest scars and drains is validated by French guidelines. Surgery, extrapleural pneumonectomy or pleurectomy/decortication, is not recommended outside a clinical trial. Firstline chemotherapy with pemetrexed remains the standard treatment. Bevacizumab is currently tested in an ongoing randomized phase 3 trial, MAPS, ending in late 2013.
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