RT Book, Section A1 Rohs, Nicholas A1 Jackman, David M. A1 Ciofreddi, Leigh-Anne A1 Gomez, Jorge 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 1170414043 T1 Systemic Chemotherapy 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=1170414043 RD 2023/10/04 AB Mesothelioma is a rare, aggressive malignancy arising from the mesothelial surfaces of the pleura, peritoneum, pericardium, or tunica vaginalis. Incidence of the disease peaked in the United States in the mid-1990s with approximately 2500 to 3000 new cases diagnosed annually. However, its incidence in many other parts of the world, particularly in rapidly industrializing regions without sufficient asbestos regulation, will continue to rise over the next few decades.1 Despite attempts at aggressive multimodality therapy for seemingly localized disease, prognosis for mesothelioma continues to be dismal, with median overall survival of approximately 1 year.2 Since its updated indication in 2004, pemetrexed remains the only chemotherapy specifically approved by the U.S. Food and Drug Administration (FDA) for the treatment of mesothelioma. Considering the high rates of disease recurrence or progression, the development of effective systemic treatment options for mesothelioma is sorely needed.