RT Book, Section A1 Rosenzweig, Kenneth E. A2 Sugarbaker, David J. A2 Bueno, Raphael A2 Burt, Bryan M. A2 Groth, Shawn S. A2 Loor, Gabriel A2 Wolf, Andrea S. A2 Williams, Marcia A2 Adams, Ann SR Print(0) ID 1170414144 T1 Radiation Therapy for Mesothelioma T2 Sugarbaker’s Adult Chest Surgery, 3e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260026931 LK accesssurgery.mhmedical.com/content.aspx?aid=1170414144 RD 2024/04/19 AB Treatment of malignant pleural mesothelioma with radiation therapy (RT) is extremely challenging. The target volume for treatment is very large, involving almost the entire hemithorax, and within and adjacent to this treatment volume, there are many normal structures with low tolerances to radiation. Consequently, it is very difficult to create treatment plans that deliver therapeutic doses to the tumor target volume while respecting normal tissue tolerances. This chapter reviews the history, current approaches, and future ideas for the treatment of malignant pleural mesothelioma with radiotherapy in definitive, adjuvant, and palliative settings.