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Integrative Approach To Cytologic And Molecular Diagnosis Of Malignant Pleural Mesothelioma Hjerpe Translational Lung Cancer Research James Law Firm
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James law firm. Malignant pleural mesothelioma mpm an asbestos induced tumor represents significant diagnostic challenges for pathologists. The diagnosis of mesothelioma is one of the most difficult challenges faced by pathologists. Diverse ancillary studies of diagnostic prognostic and predictive importance.
Malignant pleural mesothelioma mpm is an aggressive and heterogeneous tumor mainly associated with asbestos exposure. The international mesothelioma interest group has been writing guidelines for pathological diagnosis that are periodically updated. Its histologic diagnosis is stepwise and should be based on morphological assessment associated with clinical and radiological findings and supported by immunohistochemistry as well as more recent molecular tests.
Molecular diagnosis and prognosis. It can also develop from the serosal surfaces of the pericardium or the tunica vaginalis. Approximately 90 of patients with malignant pleural mesothelioma and 15 of patients with lung adenocarcinoma present with a malignant pleural effusion mpeclinically differentiating between the most common epithelioid form of mesothelioma and lung adenocarcinoma is often problematic.
Malignant mesothelioma mm is an aggressive neoplasm that arises primarily from the surface serosal cells of the pleura and peritoneum 1 2. Malignant pleural mesothelioma mpm an asbestos induced tumor represents significant diagnostic challenges for pathologists. Up to 80 of all cases are pleural in origin and are defined as malignant pleural mesothelioma mpm.
D jean et al molecular changes in mesothelioma with an impact on prognosis and treatment arch pathol lab med 136 277 2012. 3 to date therapeutic options for mpm are limited with an overall survival ranging from 12 to 18 months and patients affected with sarcomatoid mpm have the worst clinical outcome. R bueno et al comprehensive genomic analysis of malignant pleural mesothelioma identifies recurrent mutations gene fusions and splicing alterations nat genet 48 407 2016.
And research efforts to better define the pathobiology of mesothelioma and develop novel clinical applications. Epithelioid sarcomatoid and biphasic. Its histological diagnosis is stepwise and should be based on morphological assessment supported by clinical and radiological findings and supplemented with immunohistochemistry ihc and more recently molecular tests.
The guidelines are being updated based on published literature in the last 3 years and experience of more than 20 leading international pathologists in the field who will be. Malignant mesothelioma is a highly aggressive tumor and the patient prognosis with advanced stage mm is very poor. Although several molecular target therapies have been tested no satisfactory results have been obtained to date.
Malignant mesothelioma is an uncommon tumor that may be difficult to diagnose.
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