Survival Rates & Surgery
Surgeries to treat mesothelioma have led to increased survival rates in most patients and even survival in some cases.
Does Surgery Improve Survival Rates?
Mesothelioma survival rates are higher among patients who had surgery to remove their tumor. Surgically removing as much of the tumor as possible inhibits metastasis, which in turn increases survival rates. Find a mesothelioma specialist who can help you increase your survival rate through surgery.
Curative Surgical Treatments
This procedure is performed on stage 1 and 2 pleural mesothelioma patients. The goal is to remove all of the tumors in the chest cavity. One study reported an average survival time of 19 months after the surgery.
This procedure is also used for pleural mesothelioma patients although it cannot be performed if the tumor spreads to the lung. Studies have recorded increased patient comfort and similar survival times to that of the EPP.
Cytoreductive surgery is used for patients with early stage peritoneal mesothelioma. One study recorded a median survival time of seven years for patients who had the procedure.
Candidates for surgical treatment are typically those who have been diagnosed with stage 1 or stage 2 mesothelioma. However, advanced stage patients are sometimes accepted in clinical trials.
Patients with pericardial mesothelioma may opt to have a pericardiectomy, but operative procedures are typically only used for pain relief purposes. Little is known about survival rates after a pericardiectomy because the disease is so rare.
Pleural Mesothelioma Surgery
The extrapleural pneumonectomy (EPP) and pleurectomy/decortication (P/D) are the primary surgical options for patients with pleural mesothelioma. There is a treatment debate as to which procedure is more effective. However, many studies show the difference in improving survival rates between the two procedures is often negligible.
Regardless which surgical treatment patients received, the survival rate statistics were fairly the same; studies favoring one procedure over the other tend to be subject to selection bias. The procedure that is right for you depend on your diagnosis and overall health. Finding a cancer center that is experienced in performing these procedures is the best way to increase your survival time.
One study showed patients who underwent aggressive surgery had a 2-year survival rate of approximately over 35% and a 1-year survival rate of over 75%.
This data shows the efficacy of surgical treatment versus overall survival rates for those with pleural mesothelioma. The choice to have an EPP or a P/D should be tailored to the individual because there currently isn’t enough evidence to suggest which procedure is better.
Peritoneal Mesothelioma Surgery
The latest treatment for peritoneal mesothelioma is an operative cytoreduction with HIPEC (heated chemotherapy during surgery). The results of this treatment are very promising and show notable results in increasing survival rates. In one study by the National Cancer Institute, peritoneal mesothelioma patients had a median survival of over seven years following surgery.
Peritoneal mesothelioma patients can significantly increase their life expectancy by getting this treatment. Compared to the standard 2-year survival rate of 35% for patients with peritoneal mesothelioma, those who had an operative cytoreduction with HIPEC increased their two-year survival rate to approximately 70%.