Mesotelioma

  1. Terán, E. 1
  2. Claros, J. 1
  3. Bellido, L. 1
  4. Del Barco, E. 1
  5. Cigarral, B. 1
  6. Escalera, E. 1
  7. Barrios, B. 1
  8. Casado, D. 1
  9. Figuero, L. 1
  10. Olivares, A. 1
  11. López, A. 1
  12. Cruz, J.J. 1
  1. 1 Instituto de Investigación Biomédica de Salamanca (IBSAL), Servicio de Oncología Médica, Complejo Asistencial Universitario de Salamanca (CAUSA), Salamanca, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2021

Título del ejemplar: Enfermedades oncológicas (II)Tumores torácicos. Cáncer de cabeza y cuello

Serie: 13

Número: 25

Páginas: 1402-1408

Tipo: Artículo

DOI: 10.1016/J.MED.2021.02.005 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

El mesotelioma es una neoplasia insidiosa que surge de las superficies mesoteliales de las cavidades pleurales. La causa predominante del mesotelioma maligno es la exposición al asbesto por inhalación. El diagnóstico del mesotelioma pleural maligno se establece por características morfológicas e inmunohistoquímicas de una muestra citológica o quirúrgica. La evaluación inicial se acompaña de tomografía computarizada (TC) de tórax con contraste, toracocentesis del derrame pleural existente y la tomografía por emisión de positrones (PET) en la evaluación de ganglios linfáticos mediastínicos. En casos de enfermedad localizada, la cirugía se combina con radioterapia para mejorar el control local de la enfermedad y quimioterapia para reducir el riesgo de recurrencia local y metástasis sistémicas. La combinación de quimioterapia según el esquema cisplatino-pemetrexed se ha convertido en el régimen más ampliamente utilizado en pacientes con mesotelioma pleural maligno irresecable.

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