In addition to a clear diagnosis of the disease and, according to the tumor required by the involvement of the structure stage, the development of treatment programmes and prognosis is important. Butchant recommendations will be divided into Ⅳ period (Table 1).
Table 1 diffuse malignant pleural mesothelioma staging (Butchant stages)
Stage
Involving the structure of the tumor
Ⅰ period
Phase Ⅱ
Stage Ⅲ
Ⅳ period
Ipsilateral tumors confined to the lungs and pleura
Mediastinal tumor or organ of the chest wall (esophagus, heart), chest metastasis
Tumors invaded the diaphragm and abdominal penetration, contralateral pleural invasion, metastasis Xiongwai
Blood distant metastasis
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