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Details

Lung Cancer Management Part 3
Mesothelioma
12
Other
Not Applicable
12/07/2012

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Cards

Term
75-80% of all cases of Mesothelioma caused by:
Definition
asbestos
Term
limited growth on pleural lining, median survival 16 months
Definition
Stage I Mesothelioma
Term
Stage I Mesothelioma
Definition
tumor potentially curable in this stage; an attempt can be made to surgically remove entire tumor
Term
involves the pleural lining and possibly invaded surrounding normal structures, median survival 5 months
Definition
Stage II, III, IV Mesothelioma
Term
Best attempt at cure
Definition
Surgery
Term
#1 chemotherapy treatment for mesothelioma
Definition
Cisplatin w/ premetrexed
Term
Single agent chemo for Mesothelioma
Definition
doxorubicin, epirubicin, mitomycin, cyclophosphamide, cisplatin, carboplatin, ifosfamide
Term
post operation, symptom control
Definition
radiation therapy
Term
inhibits several enzymes involved in folate metabolism and DNA synthesis, antifolate agent
Definition
Pemetrexed (Alimta)
Term
Avoid when using Pemetrexed if renal impairment or use with severe caution
Definition
NSAIDs
Term
Toxicities of Pemetrexed
Definition
myelosuppression, rash, fever, infection, stomatitis/pharyngitis, fatigue, NV, anorexia, increased LFTs, diarrhea
Term
Adjuvant meds necessary for pemetrexed
Definition
Folic acid, Vitamin B12, Dexamethasone
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