Mesothelioma

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: closed (31 December 2021) | Viewed by 4383

Special Issue Editor


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Guest Editor
Director Peritoneal Surface Malignancies Unit, Department of Surgery, Fondazione IRCCS Istituto Nazionale Dei Tumori, Via Giacomo Venezian 1, Milano 20133, Italy
Interests: Peritoneal Mesothelioma; Peritoneal Neoplasm; Cytoreductive Surgery; HIPEC

Special Issue Information

Malignant mesothelioma is a disease affecting serosal surfaces derived from mesothelium comprising the pleura, peritoneum, pericardium, and tunica vaginalis testis. Peritoneal mesothelioma (PM) accounts for 7–30% of all cases

The most common diffuse malignant form of PM (DMPM) is characterized macroscopically by thousands of whitish tumor nodules of variable size and consistency that may coalesce to form plaques or masses or layer out uniformly to cover the entire peritoneal surface. Although there might be an association of asbestos exposure with DMPM, this disease's pathogenesis is mostly unknown. Patients usually present with advanced disease that causes abdominal pain or distension. As the disease progresses, patients die due to intestinal obstruction or terminal starvation within a year. In most patients, DMPM remains localized within the abdominopelvic cavity throughout its course. An intense activity of clinical and scientific research has allowed in the last two decades to improve the prognosis of patients through the introduction of innovative treatment modalities such as cytoreductive surgery (CRS) and hyperthermic intra peritoneal chemotherapy, and more recently the use of biological drugs and immunotherapy.

This Special Issue’s objective is to present a comprehensive overview of the state-of-the-art data regarding the epidemiology, diagnostics, therapeutics, and pathophysiology of PM.

The current project brings together the efforts of the most prominent experts in peritoneal surface oncology and has the mission to provide clinicians and researchers worldwide with a updated information that will serve to optimize therapeutics further, improve prognosis, and deepen our knowledge of the disease’s biology in the years to come.

Dr. Marcello Deraco
Guest Editor

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Keywords

  • Malignant
  • Malignant mesothelioma
  • Peritoneal mesothelioma (PM)
  • cytoreductive surgery (CRS)
  • Cancer

Published Papers (2 papers)

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2 pages, 151 KiB  
Editorial
Mesothelioma
by Marcello Deraco
Cancers 2021, 13(13), 3127; https://doi.org/10.3390/cancers13133127 - 23 Jun 2021
Cited by 3 | Viewed by 1764
Abstract
Malignant mesothelioma is a disease affecting serosal surfaces derived from the mesothelium comprising the pleura, peritoneum, pericardium, and tunica vaginalis testis [...] Full article
(This article belongs to the Special Issue Mesothelioma)

Other

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15 pages, 1835 KiB  
Systematic Review
Salvage Therapy for Relapsed Malignant Pleural Mesothelioma: A Systematic Review and Network Meta-Analysis
by Yu-Chen Tsai, Hsiao-Ling Chen, Tai-Huang Lee, Hsiu-Mei Chang, Kuan-Li Wu, Cheng-Hao Chuang, Yong-Chieh Chang, Yu-Kang Tu, Jen-Yu Hung, Chih-Jen Yang and Inn-Wen Chong
Cancers 2022, 14(1), 182; https://doi.org/10.3390/cancers14010182 - 30 Dec 2021
Cited by 13 | Viewed by 2026
Abstract
Patients with malignant pleural mesothelioma (MPM) have very poor prognoses, and pemetrexed plus platinum is the standard first-line therapy. However, the second-line therapy for relapsed MPM remains controversial. A comprehensive search was performed to identify randomized controlled trials (RCTs) evaluating various second-line regimens [...] Read more.
Patients with malignant pleural mesothelioma (MPM) have very poor prognoses, and pemetrexed plus platinum is the standard first-line therapy. However, the second-line therapy for relapsed MPM remains controversial. A comprehensive search was performed to identify randomized controlled trials (RCTs) evaluating various second-line regimens in patients with relapsed MPM. Indirect comparisons of overall survival (OS) and progression-free survival (PFS) were performed using network meta-analysis. Surface under the cumulative ranking curve (SUCRA) values were used to rank the included treatments according to each outcome. Nivolumab alone or nivolumab plus ipilimumab provided significantly longer OS than placebo (hazard ratio (HR): 0.72, 95% confidence interval (CI): 0.55–0.94 for nivolumab alone; HR: 0.54, 95% CI: 0.31–0.92 for nivolumab plus ipilimumab). The best SUCRA ranking for OS was identified for nivolumab plus ipilimumab (SUCRA: 90.8%). Tremelimumab, vorinostat, nivolumab alone, chemotherapy (CTX), asparagine–glycine–arginine–human tumor necrosis factor plus CTX, and nivolumab plus ipilimumab all produced noticeable PFS benefits compared with placebo. Nivolumab plus ipilimumab had the best PFS ranking (SUCRA: 92.3%). Second-line treatment with nivolumab plus ipilimumab provided the OS and PFS outcomes for patients with relapsed MPM. Full article
(This article belongs to the Special Issue Mesothelioma)
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