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American Journal of Roentgenology, Vol 166, 323-327, Copyright © 1996 by American Roentgen Ray Society

ARTICLES

The proposed new international TNM staging system for malignant pleural mesothelioma: application to imaging

EF Patz Jr, VW Rusch and R Heelan
Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA.

Malignant pleural mesothelioma (MPM) is an uncommon and usually fatal primary neoplasm of the pleura. In the past, response to standard therapy has been poor [1-3], but recent studies suggest that some patients may benefit from various therapeutic options, including surgical resection, combined technique treatment, and immunotherapy [4- 7]. With improvements in therapy, an accurate, widely accepted staging system will be important in selecting homogeneous groups of patients for entry into clinical trials. Multiple staging systems have previously been proposed for MPM, but none are universally used [8].
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