Surgery
Surgery, by itself, has proved disappointing. In one large series, the median survival with surgery (including extrapleural
pneumonectomy) was only 11.7 months.
[33] However, research indicates varied success when used in combination with radiation and chemotherapy (Duke, 2008), or with one of the latter. 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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