Mesothelioma is a devastating disease, often not manifesting itself for many years following exposure to asbestos fibers. A particularly aggressive treatment for mesothelioma treatment extrapleural pneumonectomy (known as EPP). The surgery is quite complicated and serious, but, if successful, can offer significant benefits.
What does the Surgery Involve?
EPP involves the removal of as much of the cancerous material as possible, which includes a lung, as well as the lining around it, lymph nodes, diaphragm, and the heart lining. The surgery requires that the patient be placed under general anesthesia. Because one lung is removed, tests must be conducted prior to surgery to ensure that the remaining lung will be strong enough to take over all lung function. Additionally, it must be determined that the cancer has not spread to other parts of the body.
The surgery is only viable if the mesothelioma is diagnosed in its early stages, before it can spread to the lymph nodes or other organs. As a result, EPP is often not a treatment option because mesothelioma is usually not diagnosed until stage III or IV. “Staging” is a method of describing the severity or extent of the cancer, with a range between stage 0 and stage IV. At stage IV, the cancer has spread to other tissues or organs far in distance from the area it first developed.