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Surgery for mesothelioma: who are the long-term survivors
Breathe, 09/24/09

The present study demonstrates that patients undergoing extrapleural pneumonectomy have a significantly better prognosis, even in multivariate analysis. However, this was not a randomised study and a selection bias is clearly involved, patients with favourable prognostic factors having the most radical intervention. Rather surprisingly, survival curves were not different between pleurectomy/ecortication and pleurodesis/biopsy. This may result from patient selection and a mixture of surgical indications as these procedures were mainly reserved for patients with a poor prognosis.

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