Patients with localized disease and who can tolerate a radical surgery, radiation is often given as the operation consolidative treatment. The entire hemi-thorax treated with radiation therapy, often given simultaneously with chemotherapy. This is the approach using surgery followed by radiation, chemotherapy is the first in the thoracic oncology team Brigham & Women's Hospital in Boston. Delivering radiation and chemotherapy after radical surgery has led to extend the life of selected patients with some patients surviving more than 5 years.
As part of a curative approach to mesothelioma, radiotherapy is commonly applied to the sites of chest drain insertion, in order to prevent the growth of tumor along the track in the chest wall.Although mesothelioma is generally resistant to curative treatment with radiotherapy alone, palliative treatment is sometimes used to alleviate symptoms arising from tumor growth, such as obstruction of a major blood vessel. Radiotherapy, when he alone curative intent has never been shown to improve survival from mesothelioma. Necessary radiation dose to treat mesothelioma that has not been surgically removed would be very toxic.
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