Editing Brigham and Women's Hospital (section)

== What Treatment Approaches Does Brigham Offer? ==

The International Mesothelioma Program offers comprehensive treatment options, with a philosophy rooted in aggressive multimodal therapy tailored to each patient's specific disease characteristics.<ref>[https://mesotheliomaattorney.com/mesothelioma/treatment/best-centers/ Top Mesothelioma Treatment Centers], Mesothelioma Attorney</ref>

'''Surgical Options'''

* '''Extrapleural Pneumonectomy (EPP):''' The procedure Dr. Sugarbaker refined—removing the lung, pleura, diaphragm, and pericardium—for appropriate candidates
* '''Extended Pleurectomy/Decortication (EPD):''' Lung-sparing surgery removing diseased tissue while preserving the lung, increasingly favored for many patients
* '''Cytoreductive Surgery with HIPEC:''' For peritoneal mesothelioma, combining surgery with heated intraoperative chemotherapy

'''Medical Oncology'''

* Chemotherapy regimens including pemetrexed/cisplatin combinations
* Immunotherapy with checkpoint inhibitors
* Novel biological drugs based on tumor genetics
* Clinical trial access for cutting-edge therapies

'''Radiation Therapy'''

* Intensity-modulated radiation therapy (IMRT)
* Post-surgical adjuvant radiation
* Hemithoracic radiation protocols

'''Specialized Capabilities'''

The IMP has developed particular expertise in both pleural and peritoneal mesothelioma—unusual among mesothelioma programs, which typically specialize in one or the other.<ref>[https://www.mesotheliomalawyercenter.org/mesothelioma-lawyer/massachusetts/ Massachusetts Mesothelioma Lawyer], Mesothelioma Lawyer Center</ref> The program also maintains:

* Comprehensive diagnostic services including advanced imaging
* Expert pathology review (crucial for accurate diagnosis)
* Second opinion services for patients seeking confirmation
* Patient liaisons and social workers for care coordination