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Mesothelioma Standard Treatment Options II
By: Govt
Standard treatment
options:
- Symptomatic treatment to include drainage of effusions,
chest tube
pleurodesis, or thoracoscopic pleurodesis.
- Palliative surgical resection
in selected patients.
- Palliative radiation therapy.
- Single-agent chemotherapy. Partial responses have been reported with
doxorubicin, epirubicin, mitomycin, cyclophosphamide, cisplatin, carboplatin,
and ifosfamide.
- Combination chemotherapy (under clinical evaluation). Information
about ongoing clinical trials is available from the NCI
Cancer.gov Website.
- Multimodality clinical trials.
- Intracavitary
therapy. Intrapleural or intraperitoneal administration
of
chemotherapeutic agents (e.g., cisplatin, mitomycin,
and cytarabine) has been
reported to produce transient
reduction in the size of tumor masses and
temporary control of effusions in small clinical studies. Additional
studies are needed to define the role of intra-cavitary therapy.
The safety and efficacy of pemetrexed, an antifolate, and
cisplatin in chemotherapy-n aive patients with malignant mesothelioma
who were not eligible for curative
surgery was demonstrated in a large phase III randomized trial. This
trial compared pemetrexed (500 mg/m2) and cisplatin (75
mg/m2 on day 1) with cisplatin alone (75 mg/m2 on day 1 intravenously every 21 days). A total of 456 patients
were enrolled: 226 patients received pemetrexed plus cisplatin and 222 patients
received cisplatin alone; 8 patients did not receive therapy.
After 117 patients had enrolled, folic acid and vitamin B12 were added to reduce toxic effects. Folic acid (350-1,000 µg orally)
was given daily, beginning 1 to 3 weeks before the first chemotherapy dose and
continuing daily until 1 to 3 weeks after treatment ended. A vi
tamin B12 injection (1,000 µg intramusc....[MORE]
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| MesoLink.org -- Your Link To Mesothelioma Information ... mesothelioma comes in three forms: pleural mesothelioma; peritoneal mesothelioma; and pericardial mesothelioma ... cure for malignant mesothelioma, pleural mesothelioma, and other forms ...
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| Mesothelioma Source - Resource for Asbestos Cancer Mesothelioma Source offers comprehensive information on types, stages and treatment of malignant mesothelioma ... Individuals with pleural mesothelioma may accumulate some fluid between the lung lining and chest ... of malignant and/or pleural mesothelioma. Mesothelioma Source is dedicated to ...
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| Mesothelioma & Asbestos Cancer Resource What is Mesothelioma? Mesothelioma is a rare disease caused as a result of malignant cancerous cells lining the patient's body cavities such as chest, abdominal region or the area surrounding the heart. ... as 70-80% of all mesothelioma cases. This disease is ... diagnosis and the rate of progression of malignant mesothelioma ...
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| Pleural mesothelioma Pleural mesothelioma - information about asbestos causation, diagnosis, research and treatment options. ... Pleural mesothelioma is of two kinds: (1) diffuse and malignant (cancerous), and (2) localized ... about diffuse malignant pleural mesothelioma. Pleural mesothelioma is a cancer of the ...
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