Mesothelioma is a rare and aggressive form of cancer that primarily affects the lining of the lungs, abdomen, or heart. When it comes to treatment options, surgery plays a crucial role in managing this disease. Let's explore some of the surgical options available for mesothelioma patients in the USA.

Surgery Options:

1. Pleurectomy/Decortication (P/D):

P/D is a surgical procedure that involves the removal of the diseased pleura, the lining surrounding the lungs. This procedure aims to alleviate symptoms and improve the patient's quality of life. Unlike the more extensive extrapleural pneumonectomy (EPP), P/D preserves the lung, making it a viable option for patients with early-stage mesothelioma.

2. Extrapleural Pneumonectomy (EPP):

EPP is a more radical surgical option that involves the removal of the affected lung, the pleura, parts of the diaphragm, and the pericardium. This procedure is typically recommended for patients with advanced-stage mesothelioma who are otherwise healthy and can tolerate the extensive surgery. EPP aims to remove as much cancerous tissue as possible in an attempt to improve survival rates.

3. Cytoreductive Surgery with HIPEC:

Cytoreductive surgery, also known as debulking surgery, involves the removal of visible tumors within the abdominal cavity. Combined with hyperthermic intraperitoneal chemotherapy (HIPEC), this procedure has shown promising results for patients with peritoneal mesothelioma. HIPEC involves delivering heated chemotherapy directly into the abdomen to kill any remaining cancer cells after surgery.

References:

1. American Cancer Society. (2021). Surgery for Malignant Mesothelioma. https://www.cancer.org/cancer/malignant-mesothelioma/treating/surgery.html
2. Mesothelioma Applied Research Foundation. (n.d.). Treatment. https://www.curemeso.org/treatment/

It's important to note that the suitability of these surgical options may vary depending on the individual patient's condition, stage of the disease, and overall health. It is crucial for mesothelioma patients to consult with a specialized medical team to determine the most appropriate treatment plan.