Malignant pleural mesothelioma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up

The ESMO Guidelines Committee provides an update to its guidelines for evaluation and management of malignant pleural mesothelioma.  They recommend against screening.  A biopsy demonstrating tissue invasion is required for a definitive diagnosis.  Definitions for different extents of surgical radicality are provided.  No specific recommendations for the extent of surgery are provided, indicating the presence of equipoise at this time.