NCCN Guidelines for Patients® | Malignant Pleural Mesothelioma - page 24

24
NCCN Guidelines for Patients
®
: Malignant Pleural Mesothelioma
Version 1.2012
Part 5: Treating mesothelioma
Adjuvant treatment
Adjuvant treatment is given after surgery to treat any remaining cancer cells.
Adjuvant treatment after P/D is chemotherapy. If you had chemotherapy
before P/D, no adjuvant treatment is recommended. See page 27 for a list of
chemotherapy drugs for mesothelioma.
After EPP, radiation therapy is recommended. Chemotherapy may also be given if
not given before surgery. Radiation therapy uses high-energy rays to treat cancer.
The rays damage a cell’s instructions for creating and controlling cells. This either
kills the cancer cells or stops new cancer cells from being made. Radiation can
also harm normal cells. Ask your treatment team for a list of all the side effects
of radiation.
Radiation will be given to the side of your chest where the tumor was and other
areas decided by your radiation oncologist. For mesothelioma, radiation is often
given using a machine outside the body. This method is called EBRT (
e
xternal
b
eam
r
adiation
t
herapy).
Before radiation, images of the chest are taken with a CT scan using contrast.
This process is called simulation. Your radiation oncologist will use the images to
decide the radiation dose and to shape the radiation beams. Beams are shaped
with computer software and hardware added to the radiation machine.
Your treatment team will decide the best time to have radiation therapy
after surgery. During treatment, you will lie on a table in the same position
as done during simulation. Devices may be used to keep you from moving
so that the radiation targets the tumor. Likewise, methods may be applied
to control breathing.
Stage I – III epithelioid or mixed mesothelioma
Notes
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