Surgery:
Surgery, by
itself, has proved disappointing. In one large series, the median survival with
surgery (including extrapleural pneumonectomy) was only 11.7 months. However,
research indicates varied success when used in combination with radiation and
chemotherapy (Duke, 2008). (For more information on multimodality therapy with
surgery, see below). A pleurectomy/decortication is the most common surgery, in
which the lining of the chest is removed. Less common is an extrapleural
pneumonectomy (EPP), in which the lung, lining of the inside of the chest, the
hemi-diaphragm and the pericardium are removed.
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