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恶性胸膜间皮瘤。

Malignant pleural mesothelioma.

机构信息

Department of Cardiothoracic Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.

出版信息

Curr Oncol Rep. 2011 Aug;13(4):259-64. doi: 10.1007/s11912-011-0177-9.

Abstract

Malignant pleural mesothelioma (MPM) is a relatively rare thoracic malignancy accounting for about 2000-3000 new cases per year. This cancer has been increasing in incidence and is strongly associated with asbestos exposure. Also, it is characterized by insidious growth and clinical presentation at an advanced stage of disease. In the past, the treatment of this disease was limited to marginally effective chemotherapy and morbid surgery. This review explores the clinical presentation of MPM, its diagnostic approach and the relevant and recent studies that define the role of chemotherapy, radiation, and various surgical options. Currently, even with aggressive surgical interventions and multimodality strategies, cure remains elusive, although life prolongation has been achieved. Additionally, promising new therapies and interventions that are currently being studied are introduced in this review.

摘要

恶性胸膜间皮瘤(MPM)是一种相对罕见的胸部恶性肿瘤,每年约有 2000-3000 例新发病例。这种癌症的发病率一直在上升,与石棉暴露有很强的关联性。此外,它的特点是生长隐匿,疾病晚期才出现临床表现。过去,这种疾病的治疗仅限于疗效有限的化疗和病态手术。本综述探讨了 MPM 的临床表现、诊断方法以及最近的相关研究,这些研究确定了化疗、放疗和各种手术选择的作用。目前,即使采用积极的手术干预和多模式策略,也难以治愈,尽管已经实现了生存期的延长。此外,本综述还介绍了目前正在研究的有前途的新疗法和干预措施。

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