Malignant pleural mesothelioma (MPM)
Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.
| ID | DIS-MESOTHELIOMA |
|---|---|
| Type | Disease |
| Aliases | Malignant mesotheliomaMesothelioma NOSPeritoneal mesotheliomaЗлоякісна мезотеліома плеври |
| Status | reviewed 2026-05-04 | pending_clinical_signoff |
| Diseases | None declared |
| Sources | None declared |
Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.
| icd_o_3_morphology | 9050/3 |
|---|---|
| icd_o_3_topography | ["C38.4", "C48.1", "C48.2"] |
| icd_10 | C45.0 |
| who_classification | WHO Thoracic Tumours 5th ed (2021): Mesothelioma |
Notes
Malignant mesothelioma is predominantly a pleural cancer (MPM ~80% of cases); peritoneal mesothelioma (~20%) has different treatment (cytoreductive surgery + hyperthermic intraperitoneal chemotherapy [HIPEC] for peritoneal). This disease entity focuses on MPM. Historically extremely poor prognosis (mOS ~12 mo); CheckMate-743 (FDA 2020) with nivolumab+ipilimumab improved mOS to 18.1 mo — first new 1L approval in 15 years. BAP1 IHC loss is a diagnostic marker (not actionable therapeutically). PD-L1 expression is not validated as predictive for ICI benefit in MPM.
Used By
Algorithms
ALGO-HEREDITARY-MELANOMA-SURVEILLANCE- ALGO-HEREDITARY-MELANOMA-SURVEILLANCEALGO-MESOTHELIOMA-1L- ALGO-MESOTHELIOMA-1LALGO-MESOTHELIOMA-2L- ALGO-MESOTHELIOMA-2L
Disease
DIS-NSCLC- Non-small cell lung cancer
Indication
IND-BAP1-CARRIER-INTENSIFIED- IND-BAP1-CARRIER-INTENSIFIEDIND-BAP1-CARRIER-SURVEILLANCE- IND-BAP1-CARRIER-SURVEILLANCEIND-MESOTHELIOMA-1L-NIVO-IPI- IND-MESOTHELIOMA-1L-NIVO-IPIIND-MESOTHELIOMA-1L-PEMETREXED-PLATINUM- IND-MESOTHELIOMA-1L-PEMETREXED-PLATINUMIND-MESOTHELIOMA-2L-NIVO- IND-MESOTHELIOMA-2L-NIVO
Questionnaires
QUEST-MESOTHELIOMA-1L-STUB- Malignant mesothelioma — first line
Red flag
RF-ACTIVE-AUTOIMMUNE-DISEASE-ICI-RISK- Patient with active or incompletely controlled pre-existing autoimmune or inflammatory di...RF-BAP1-CONFIRMED-CARRIER- Confirmed germline pathogenic / likely-pathogenic variant in the BAP1 gene — BAP1 tumor p...RF-BAP1-FAMILY-HISTORY-SUSPICION- Family pedigree suggestive of BAP1 tumor predisposition syndrome — confirmed germline BAP...RF-OCC-ASBESTOS-MALIGNANCY-PREVENTION- Documented historical occupational exposure to asbestos fibres (chrysotile, amosite, croc...RF-OCC-FIREFIGHTER-PREVENTION- Documented historical occupational exposure as a career firefighter (≥10 years in active...
Regimen
REG-NIVO-IPI-MESOTHELIOMA- Nivolumab + ipilimumab (mesothelioma, 1L)REG-PEMETREXED-CISPLATIN-MPM- Pemetrexed + cisplatin (malignant pleural mesothelioma, 1L)
Sources
SRC-CONFIRM-FENNELL-2021- Nivolumab versus placebo in patients with relapsed malignant mesothelioma (CONFIRM): a mu...SRC-EMPHACIS-VOGELZANG-2003- Phase III study of pemetrexed in combination with cisplatin versus cisplatin alone in pat...