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Published in: Virchows Archiv 1/2021

01-01-2021 | Pleural Mesothelioma | Review and Perspectives

Challenges in lung and thoracic pathology: molecular advances in the classification of pleural mesotheliomas

Authors: Lynnette Fernandez-Cuesta, Lise Mangiante, Nicolas Alcala, Matthieu Foll

Published in: Virchows Archiv | Issue 1/2021

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Abstract

The diagnosis and classification of malignant pleural mesothelioma (MPM) is extremely challenging; obtaining an accurate histopathological diagnosis of the different types and subtypes requires expert assessment and suitable biopsies that are not always available, which can leave doctors uncertain about the patient’s diagnosis, sometimes resulting in a delay in the start of treatment. In this review, we discuss recent major advances in the molecular characterisation of MPM and their implications for histological classification. We detail what is known of the molecular landscape of MPM at the genomic, transcriptomic, and epigenomic levels, describe the similarities and dissimilarities of the multiple molecular classifications that have been proposed, and provide an overview of the current state of knowledge regarding inter- and intra-tumour heterogeneity. We also highlight the current gaps in knowledge and how addressing them would benefit classification, as well as the patients in general.
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Metadata
Title
Challenges in lung and thoracic pathology: molecular advances in the classification of pleural mesotheliomas
Authors
Lynnette Fernandez-Cuesta
Lise Mangiante
Nicolas Alcala
Matthieu Foll
Publication date
01-01-2021
Publisher
Springer Berlin Heidelberg
Published in
Virchows Archiv / Issue 1/2021
Print ISSN: 0945-6317
Electronic ISSN: 1432-2307
DOI
https://doi.org/10.1007/s00428-020-02980-9

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