Journals / Dicle Tıp Dergisi / 2020 / Cilt: 47 Sayı: 4

The benefit of surgery on survival for patients with stage 1 and 2 malignant pleural mesothelioma

Birol Ocak(Bursa Uludağ Üniv.)
Ahmet Bilgehan Şahin(Bursa Uludağ Üniv.)
Pages
770–778
Publication Date
2020-12-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Median progression-free survival (PFS) was 12.3 months (95% confidence interval [CI], 9.4-15.1), and the median overall survival (OS) was 24.3 months (95% CI, 15.8-32.8).

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Malignant mesothelioma is a rare and aggressive cancer.
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Key Findings & Data:We aim to report our experience of stage 1 and 2 malign pleural mesothelioma (MPM) and investigate the prognostic factors.
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Conclusion & Impact:Median progression-free survival (PFS) was 12.3 months (95% confidence interval [CI], 9.4-15.1), and the median overall survival (OS) was 24.3 months (95% CI, 15.8-32.8).
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Chemotherapy · malign pleural mesothelioma · stage 1-2

Abstract

Objective: Malignant mesothelioma is a rare and aggressive cancer. We aim to report our experience of stage 1 and 2 malign pleural mesothelioma (MPM) and investigate the prognostic factors. Methods: We retrospectively reviewed 37 patients with clinical stage 1 and 2 MPM in our center and examined radiological findings, demographic characteristics, treatment modalities, survival, and recurrence. Results: Eighteen of the 37 patients were male, and the mean age of the patients was 59.0 ± 11.2 years. Thirty patients had stage 1 MPM, and 7 patients had stage 2. Seven patients underwent surgery, and 30 patients received induction chemotherapy. Median progression-free survival (PFS) was 12.3 months (95% confidence interval [CI], 9.4-15.1), and the median overall survival (OS) was 24.3 months (95% CI, 15.8-32.8). In multivariate analysis, while gender and surgery had a statistically significant effect on PFS (p=0.01, p=0.01, respectively), both gender and surgery did not significantly affect OS (p=0.15, p=0.08, respectively). Local recurrence occurred in 28 patients, and 7 patients were presented with local recurrence and distant metastasis. Conclusion: In our study, where the majority of patients were stage 1 and 2, the effect of the surgery was significant.

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Cite This Article

Ocak, B., Şahin, A. B. (2020). The benefit of surgery on survival for patients with stage 1 and 2 malignant pleural mesothelioma. Dicle Tıp Dergisi, Cilt: 47 Sayı: 4, 770–778. https://doi.org/10.5798/dicletip.850203

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References (1)

  1. Hiriart E, Deepe R, Wessels A. Mesothelium andMalignant Mesothelioma. J Dev Biol. 2019; 7.