Malignant pleural mesothelioma: Clinicopathologic and survival characteristic in a consecutive series of 40 patients

"n Normal 0 false false false EN-GB X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:y...

Full description

Bibliographic Details
Main Authors: Bagheri R, Haghy SZ, Rahim MB, Attaran D, Silanian Toosi M
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2009-05-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/13598.pdf&manuscript_id=13598
_version_ 1818692550752468992
author Bagheri R
Haghy SZ
Rahim MB
Attaran D
Silanian Toosi M
author_facet Bagheri R
Haghy SZ
Rahim MB
Attaran D
Silanian Toosi M
author_sort Bagheri R
collection DOAJ
description "n Normal 0 false false false EN-GB X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Pleural malignant mesothelioma is an uncommon but extremely invasive tumor which originates from mesothelial cells and usually occures after prolonged exposure to asbestos. The aim of this study was to clinicopathologically evaluation of 40 patients with pleural malignant mesothelioma and the main factors influencing their prognosis. "n"n Methods: In this study patients with definitive diagnosis, who had been followed up for at least three years were studied based on gender, age presenting symptoms, and clinicopathological patterns."n"n Results: Male to female ratio of the study patients was three to one any the average age of them was 55 years. Chest pain was the most common symptoms in 34(85%) patients. Most of the study patients were in Buchard stage I (37/5%) and the epithelial form was the most common pathological pattern 25(62.5%). 19(47.5%) of cases received only radiotherapy and chemotherapy. Extrapleural pneumonectomy was performed on eight (20%) patients, seven (17.5%) patients underwent decortication and pleurectomy beside adjuvant therapy and 15% of the cases rejected any type of treatment. Surgical mortality occurred in one patient and the most common surgical complication was wound infection. The average survival rate was 12±1.2 months and the main factors influencing it were the patient's physiologic status, pathological form, stage of the disease and the pattern of pleural involvement. "n"n Conclusions: Because the low survival rate after multimodality invasive treatments in mesothelioma, aggressive therapeutic methods were recommended in selected patients
first_indexed 2024-12-17T12:59:35Z
format Article
id doaj.art-e19991c4077b4960b58c7b3fde73a749
institution Directory Open Access Journal
issn 1683-1764
1735-7322
language fas
last_indexed 2024-12-17T12:59:35Z
publishDate 2009-05-01
publisher Tehran University of Medical Sciences
record_format Article
series Tehran University Medical Journal
spelling doaj.art-e19991c4077b4960b58c7b3fde73a7492022-12-21T21:47:24ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222009-05-01672137145Malignant pleural mesothelioma: Clinicopathologic and survival characteristic in a consecutive series of 40 patientsBagheri RHaghy SZRahim MBAttaran DSilanian Toosi M"n Normal 0 false false false EN-GB X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Pleural malignant mesothelioma is an uncommon but extremely invasive tumor which originates from mesothelial cells and usually occures after prolonged exposure to asbestos. The aim of this study was to clinicopathologically evaluation of 40 patients with pleural malignant mesothelioma and the main factors influencing their prognosis. "n"n Methods: In this study patients with definitive diagnosis, who had been followed up for at least three years were studied based on gender, age presenting symptoms, and clinicopathological patterns."n"n Results: Male to female ratio of the study patients was three to one any the average age of them was 55 years. Chest pain was the most common symptoms in 34(85%) patients. Most of the study patients were in Buchard stage I (37/5%) and the epithelial form was the most common pathological pattern 25(62.5%). 19(47.5%) of cases received only radiotherapy and chemotherapy. Extrapleural pneumonectomy was performed on eight (20%) patients, seven (17.5%) patients underwent decortication and pleurectomy beside adjuvant therapy and 15% of the cases rejected any type of treatment. Surgical mortality occurred in one patient and the most common surgical complication was wound infection. The average survival rate was 12±1.2 months and the main factors influencing it were the patient's physiologic status, pathological form, stage of the disease and the pattern of pleural involvement. "n"n Conclusions: Because the low survival rate after multimodality invasive treatments in mesothelioma, aggressive therapeutic methods were recommended in selected patientshttp://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/13598.pdf&manuscript_id=13598Malignant mestheliomapleuradiagnosistreatment
spellingShingle Bagheri R
Haghy SZ
Rahim MB
Attaran D
Silanian Toosi M
Malignant pleural mesothelioma: Clinicopathologic and survival characteristic in a consecutive series of 40 patients
Tehran University Medical Journal
Malignant mesthelioma
pleura
diagnosis
treatment
title Malignant pleural mesothelioma: Clinicopathologic and survival characteristic in a consecutive series of 40 patients
title_full Malignant pleural mesothelioma: Clinicopathologic and survival characteristic in a consecutive series of 40 patients
title_fullStr Malignant pleural mesothelioma: Clinicopathologic and survival characteristic in a consecutive series of 40 patients
title_full_unstemmed Malignant pleural mesothelioma: Clinicopathologic and survival characteristic in a consecutive series of 40 patients
title_short Malignant pleural mesothelioma: Clinicopathologic and survival characteristic in a consecutive series of 40 patients
title_sort malignant pleural mesothelioma clinicopathologic and survival characteristic in a consecutive series of 40 patients
topic Malignant mesthelioma
pleura
diagnosis
treatment
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/13598.pdf&manuscript_id=13598
work_keys_str_mv AT bagherir malignantpleuralmesotheliomaclinicopathologicandsurvivalcharacteristicinaconsecutiveseriesof40patients
AT haghysz malignantpleuralmesotheliomaclinicopathologicandsurvivalcharacteristicinaconsecutiveseriesof40patients
AT rahimmb malignantpleuralmesotheliomaclinicopathologicandsurvivalcharacteristicinaconsecutiveseriesof40patients
AT attarand malignantpleuralmesotheliomaclinicopathologicandsurvivalcharacteristicinaconsecutiveseriesof40patients
AT silaniantoosim malignantpleuralmesotheliomaclinicopathologicandsurvivalcharacteristicinaconsecutiveseriesof40patients