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Download PDF File Mesothelioma Chemotherapy Algorithm . Key. Wherever possible, eligible patients should be offered access to treatment as part of clinical trials. No. OR. Mesothelioma Chemotherapy Algorithm.

Mesothelioma Chemotherapy Algorithm

Key

Mesothelioma diagnosis

Funded via PCTs May be applied for via Cancer Drugs Fund

Suitable for surgery
Yes No

Patient Discussion inc palliative care

PSO-2

No

Palliative care/ Symptom control

Yes

Surgery

Early symptomatic and/or radiological progression

Pemetrexed Platinum up to 6 cycles

OR

Vinorelbine or Gemcitabine

Relapse
PS >2 PS 0-2

Chemotherapy regimen detail

Relapse < 6 months

Relapse > 6 months

Palliative Care/ Symptom Control

Vinorelbine or Gemcitabine

Relapse PS 0-2

Pemetrexed Platinum rechallenge

Wherever possible, eligible patients should be offered access to treatment as part of clinical trials





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