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Mesothelioma: Diagnosis and Therapy

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

Deadline for manuscript submissions: closed (30 November 2025) | Viewed by 2267

Special Issue Editor


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Guest Editor
1. Respiratory Medicine Department, Northumbria Healthcare NHS Foundation Trust, Cramlington NE22 9EH, UK
2. Department of Respiratory Medicine, North Tyneside General Hospital, North Tyneside, Newcastle NE298NH, UK
Interests: pleural infection; malignant and benign pleural disease; mesothelioma; pneumothorax; pulmonary embolus; COVID-19
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Special Issue Information

Dear Colleagues,

Malignant mesothelioma is a rare incurable cancer that is predominantly related to asbestos exposure. There have been numerous advances in this field, including innovations in diagnostics, the development of enhanced staging and immunotherapy treatment, and novel evidence regarding surgical treatments and intrapleural therapy. This Special Issue therefore welcomes the submission of articles related to these topics.

We are pleased to invite you to contribute to this Special Issue on mesothelioma with original research articles and reviews. The research included in this Special Issue may present updated diagnostic methods, novel treatment options and debates around surgical treatment. I look forward to receiving your contributions.

Dr. Avinash Aujayeb
Guest Editor

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Keywords

  • malignant pleural mesothelioma
  • diagnostics
  • immunotherapy treatment
  • surgical treatments
  • intrapleural therapy

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Published Papers (1 paper)

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Review

29 pages, 15316 KB  
Review
Pleural Mesothelioma Diagnosis for the Pulmonologist: Steps Along the Way
by Alberto Fantin, Nadia Castaldo, Ernesto Crisafulli, Giulia Sartori, Filippo Patrucco, Horiana B. Grosu, Paolo Vailati, Giuseppe Morana, Vincenzo Patruno, Stefano Kette, Avinash Aujayeb and Aleš Rozman
Cancers 2025, 17(23), 3866; https://doi.org/10.3390/cancers17233866 - 1 Dec 2025
Cited by 1 | Viewed by 1746
Abstract
Background/Objectives: Malignant pleural mesothelioma (MPM) is a rare, aggressive tumor with a poor prognosis and complex diagnostic pathways. Pulmonologists often play a central role in its initial recognition and investigation. This narrative review synthesizes the current evidence on the diagnostic approach to [...] Read more.
Background/Objectives: Malignant pleural mesothelioma (MPM) is a rare, aggressive tumor with a poor prognosis and complex diagnostic pathways. Pulmonologists often play a central role in its initial recognition and investigation. This narrative review synthesizes the current evidence on the diagnostic approach to MPM, with emphasis on imaging, tissue sampling, histopathology, and emerging diagnostic innovations relevant to clinical pulmonology. Methods: English-language studies published between January 2005 and June 2025 were identified from PubMed and Scopus. International guidelines and consensus documents were also reviewed to provide an updated overview of diagnostic strategies. Results: Diagnosis of MPM relies on a stepwise integration of clinical, radiological, and pathological information. Thoracic ultrasound, computed tomography, positron emission computed tomography and magnetic resonance imaging complement each other across different stages of the diagnostic pathway. Image-guided pleural biopsy and medical thoracoscopy remain the gold standard for tissue confirmation, supported by immunohistochemistry and molecular testing. The 2021 World Health Organization classification of pleural tumors and the International Association Study of Lung Cancer 9th Edition Tumour-Node-Mestastatis system have refined histologic and staging criteria, thereby improving reproducibility and prognostic accuracy. Emerging tools, including liquid biopsy, novel serum and molecular biomarkers, artificial-intelligence-based radiomics, and breathomics, offer promise for earlier and less invasive diagnosis but require prospective validation. Conclusions: Current advances are redefining MPM diagnosis toward integrated, multidisciplinary, and precision-based models. Future priorities include standardizing diagnostic algorithms, validating minimally invasive biomarkers, and integrating AI and molecular profiling into clinical workflows to enhance patient stratification. Full article
(This article belongs to the Special Issue Mesothelioma: Diagnosis and Therapy)
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