Description

Butchart et al reported a clinicopathologic staging system for diffuse mesothelioma. The authors are from Shotley Bridge General Hospital and University of Newcastle Upon Tyne.


Patient selection: diffuse mesothelioma

 

Extent

Stage

confined to homolateral pleura, lung and pericardium

I

invades chest wall, mediastinal structures, opposite pleura or intra-thoracic lymph nodes

II

invades peritoneum through diaphragm or extra-thoracic lymph nodes

III

distant metastases (blood-borne)

IV

 

where:

Mediastinal structures include the esophagus or heart.


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