In the uncommon situation where the cancer is only in one area of the pleura (localised), surgery can be used to treat mesothelioma. It may involve removing part, or all, of the pleura and the lung tissue close to it. This is known as pleurectomy. Sometimes the pleura, diaphragm, and the whole lung on the affected side are removed as well as the tumour. This operation is known as extra-pleural pneumonectomy.
At present it is not clear whether surgery can give better control of symptoms or can help people to live for longer than just using active symptom control. A research trial is currently looking at whether extra-pleural pneumonectomy can give a better quality and length of life for people with localised pleural mesothelioma. This trial is called the MARS trial. You may be invited to take part if your doctor thinks that surgery could possibly be helpful for you.
It is not usually possible to surgically remove abdominal (peritoneal) mesothelioma. If surgery is possible, it is carried out by surgeons with specialist expertise in treating mesothelioma. However, the operation is not likely to cure the mesothelioma.
It is important that you discuss any operation fully with your doctor beforehand so that you understand what it involves. Remember, no operation or procedure will be done without your consent.
Surgery may sometimes be combined with radiotherapy or chemotherapy.
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