Therefore, it is accepted that surgery is aimed at local disease control, elimination of pleural effusion, release of lung trapped by the tumor, improvement of ventilation/perfusion disorders and relief of pain from chest wall invasion.54 All these considerations are particularly applicable to epithelioid mesothelioma, since the sarcomatous or biphasic types have a worse prognosis, and as such, are poorer candidates for any type of surgery.51 Extrapleural Pneumonectomy Extrapleural pneumonectomy involves resection of the lung and the parietal pleura, and is usually completed with ipsilateral resection of the pericardium and diaphragm, in addition to systematic dissection of the mediastinal lymphatic chains
But a physician and professor at Stanford University who studies tobacco advertising is crying foul
Smoking exposes the entire oral cavity and respiratory tract to harmful chemicals through inhaled smoke Smokeless tobacco delivers carcinogens directly to specific areas in the mouth through prolonged contact Combined use of both forms greatly increases overall cancer risk There is no safe form of tobacco use, each carries serious health risks
Rafael Rebollar 94, col
According to Subhash Pokhrel, Professor of Public Health Economics at Brunel University in London and co-author of the study, this is because smokeless tobacco is socially acceptable in these countries
& Seifalian, A
