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types of lung cancer
malignant mesothelioma
SCLC (small cell lung cancer)
non-SCLC eg adenocarcinoma, SCC, large
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malignant mesothelioma
definition
Malignant growth of mesothelial cells, most commonly affecting the pleura
malignant mesothelioma
epidemiology
rare
M>F
age > 50 years
malignant mesothelioma
etiology
80% - asbestos
20% - smoking/alcohol/dietary
malignant mesothelioma
presentation
chest pain
constitutional symptoms
malignant mesothelioma
diagnosis
CT chest - pleural thickening, effusion
pleuroscentesis - exudate
biopsy
malignant mesothelioma
management
+/- surgery
Chemotherapy and/or immunotherapy
+/- radiotherapy
+/- Palliative care
malignant mesothelioma
prognosis - 1 year and 5 years
1 year survival rate 50%
5 year survival rate 10%
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