In a study that may have important implications for patients diagnosed with mesothelioma, researchers from Mount Sinai Hospital have found that adults aged 80 and older with early-stage lung cancer can safely undergo surgery and achieve outcomes comparable to younger patients. Though the two illnesses have important differences, similar surgical approaches and patient selection criteria are often used for both thoracic malignancies.
Safety Findings Have Important Implications for Elderly Early-stage Mesothelioma Patients
Both mesothelioma and early-stage lung cancer are frequently diagnosed in the elderly. Despite the benefits of surgical interventions in both diseases, fears that they may be unable to tolerate invasive procedures have often excluded older patients from potentially helpful interventions. The study, published in The Lancet Regional Health—Americas and led by Dr. Raja M. Flores (Chair of Thoracic Surgery at Mount Sinai), examined surgical outcomes and quality of life in early-stage non-small cell lung cancer patients, comparing those aged 80+ with younger patients.
The results challenged previous assumptions about the resilience of patients with lung diseases like early-stage lung cancer and mesothelioma. “As our population ages, more patients over 80 are being diagnosed with early-stage lung cancer, yet they are often not considered for surgery,” said Dr. Flores, who also leads one of the world’s largest mesothelioma surgery programs. “Our findings show that when patients are carefully selected based on their overall health, not just their age, they can tolerate surgery well and experience excellent long-term outcomes.”
Mesothelioma Treatment Decisions Should Focus on Overall Health, Not Age Alone
While the Mount Sinai research targeted early-stage lung cancer patients, its outcomes may translate to elderly mesothelioma patients undergoing pleurectomy/decortication or other lung-sparing surgical procedures. Researchers found that older patients lived just as long as younger patients after surgery. While some older patients had more complications immediately post-surgery, most patients in both groups felt better over time, with quality of life improving within a year.
These findings are particularly relevant for mesothelioma patients, since the disease typically affects older adults. Surgical options often aren’t considered for these patients based solely on their age, even if they are otherwise healthy. “We should treat the whole person, not just the number of years they have lived,” Dr. Flores said. “If a patient is strong enough, surgery can save their life.”
If you or someone you love has been diagnosed with mesothelioma, the Patient Advocates at Mesothelioma.net can help you find high-quality medical care and other resources. Contact us today at 1-800-692-8608 to learn more.
