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手术在胸膜间皮瘤中的作用:循证之旅、MARS 2及其他。

The Role of Surgery in Pleural Mesothelioma: A Journey through the Evidence, MARS 2 and Beyond.

作者信息

Aujayeb Avinash, Astoul Philippe, Londero Francesco, Zuin Andrea

机构信息

Respiratory Department, Northumbria Health Care NHS Foundation Trust, Care of Gail Hewitt, Newcastle, NE23 6NZ, UK.

Department of Thoracic Oncology, Pleural Diseases and Interventional Pulmonology, North Hospital, Aix-Marseille University, Marseille, France.

出版信息

Pulm Ther. 2025 Jun;11(2):117-127. doi: 10.1007/s41030-025-00295-1. Epub 2025 Apr 3.

DOI:10.1007/s41030-025-00295-1
PMID:40178731
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12102037/
Abstract

Pleural mesothelioma (PM) is a rare incurable disease, predominantly linked to asbestos exposure. Not only is diagnosis difficult, but treatment choices are often limited to systemic anti-cancer treatment with chemotherapy or immunotherapy. Surgery has been employed for decades, but its application has been fiercely debated despite some randomized controlled trials such as the recent Mesothelioma and Radical Surgery 2 (MARS 2) study. We provide a commentary on this controversial topic.

摘要

胸膜间皮瘤(PM)是一种罕见的不治之症,主要与接触石棉有关。不仅诊断困难,而且治疗选择通常仅限于化疗或免疫疗法等全身性抗癌治疗。手术已经应用了几十年,但尽管有一些随机对照试验,如最近的间皮瘤与根治性手术2(MARS 2)研究,其应用仍存在激烈争议。我们对这个有争议的话题发表评论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf61/12102037/676a014dda8d/41030_2025_295_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf61/12102037/2a973c48947a/41030_2025_295_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf61/12102037/676a014dda8d/41030_2025_295_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf61/12102037/2a973c48947a/41030_2025_295_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf61/12102037/676a014dda8d/41030_2025_295_Fig2_HTML.jpg

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本文引用的文献

1
Diagnosis of Pleural Mesothelioma: Is Everything Solved at the Present Time?胸膜间皮瘤的诊断:目前是否一切都已解决?
Curr Oncol. 2024 Aug 27;31(9):4968-4983. doi: 10.3390/curroncol31090368.
2
Should Treatment of Mesothelioma Include Surgery? MARS2 Fails to Land.间皮瘤的治疗应该包括手术吗?MARS2未能成功。
Semin Thorac Cardiovasc Surg. 2024 Jul 17. doi: 10.1053/j.semtcvs.2024.07.001.
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Leveraging the pleural space for anticancer therapies in pleural mesothelioma.利用胸膜腔进行胸膜间皮瘤的抗癌治疗。
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Extended pleurectomy decortication and chemotherapy versus chemotherapy alone for pleural mesothelioma (MARS 2): a phase 3 randomised controlled trial.广泛胸膜切除术和化疗与单纯化疗治疗胸膜间皮瘤(MARS 2):一项 3 期随机对照试验。
Lancet Respir Med. 2024 Jun;12(6):457-466. doi: 10.1016/S2213-2600(24)00119-X. Epub 2024 May 10.
5
NCCN Guidelines® Insights: Mesothelioma: Pleural, Version 1.2024.NCCN 指南洞察:间皮瘤:胸膜,版本 1.2024。
J Natl Compr Canc Netw. 2024 Mar;22(2):72-81. doi: 10.6004/jnccn.2024.0014.
6
Impact of Operation on Disease Progression and Survival of Patients With Pleural Mesothelioma.手术对胸膜间皮瘤患者疾病进展和生存的影响。
Ann Thorac Surg. 2024 Jul;118(1):216-223. doi: 10.1016/j.athoracsur.2024.02.022. Epub 2024 Feb 28.
7
Reflecting real-world patients with mesothelioma in research: an interim report of baseline characteristics from the ASSESS-meso cohort.在研究中反映间皮瘤真实世界患者情况:来自ASSESS-meso队列的基线特征中期报告。
ERJ Open Res. 2023 Dec 27;9(6). doi: 10.1183/23120541.00467-2023. eCollection 2023 Nov.
8
Indwelling pleural catheters: evidence for and management.留置胸膜导管:证据与管理。
Postgrad Med J. 2023 Jun 8;99(1171):416-422. doi: 10.1136/postgradmedj-2021-141200.
9
Epidemiological, therapeutic, and survival trends in malignant pleural mesothelioma: A review of the National Cancer Database.恶性胸膜间皮瘤的流行病学、治疗和生存趋势:国家癌症数据库综述。
Cancer Med. 2023 Jun;12(11):12208-12220. doi: 10.1002/cam4.5915. Epub 2023 Apr 16.
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