Systemic drug therapy of malignant pleural mesothelioma.

Malignant pleural mesothelioma (MPM) is an uncommon malignancy characterized by a rapid clinical course. Few patients are possible candidates for radical mesothelioma surgery. According to most reviews, radiotherapy has a limited role in the treatment of malignant mesothelioma. The role of chemotherapy in the management of pleural mesothelioma still remains uncertain. The available data indicate that although 10-20% of patients are known to achieve on objective response to a number of chemotherapeutic agents, the impact on mesothelioma survival rate appears limited and improvement in the quality of life remains uncertain. The results of combination mesothelioma chemotherapy are comparable to those of single-agent chemotherapy and no major difference is detectable among the various combinations. Prospective phase II trials are recommended for the identification of new active treatments while large-scale randomized phase III trials are needed to identify the best available mesothelioma treatment. In addition, new standard criteria for eligibility and response assessment are required. This paper reviews the available literature on the systemic drug therapy of MPM.

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PMID: 9689814, UI: 98354239
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Michael Slaughter, M.D.
Dr. Michael Slaughter is a physician with Indiana Oncology Hematology Consultants specializing in the treatment of lung cancer.

Mark Lischner, M.D.
Dr. Mark Lischner works as a physician with the Sutter Physician Alliance in Roseville, California specializing in pulmonary diseases including mesothelioma.

David Rice, M.D.
Dr. David Rice is an Associate Professor and Assistant Surgeon at The University of Texas M.D. Anderson Cancer Center where he serves as the director of the Minimally Invasive Surgery and Mesothelioma programs.

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