RT Journal Article T1 GOECP/SEOR clinical guidelines on radiotherapy for malignant pleural mesothelioma. A1 Luna, Javier A1 Bobo, Andrea A1 Cabrera-Rodriguez, Joaquín José A1 Pagola, María A1 Martín-Martín, Margarita A1 Ruiz, María Ángeles González A1 Montijano, Miguel A1 Rodríguez, Aurora A1 Pelari-Mici, Lira A1 Corbacho, Almudena A1 Moreno, Marta A1 Couñago, Felipe K1 Chemotherapy K1 Malignant pleural mesothelioma K1 Radiation techniques K1 Radiotherapy K1 Reradiation K1 Surgery AB Malignant pleural mesothelioma (MPM) is a rare tumor with poor prognosis and rising incidence. Palliative care is common in MPM as radical treatment with curative intent is often not possible due to metastasis or extensive locoregional involvement. Numerous therapeutic advances have been made in recent years, including the use of less aggressive surgical techniques associated with lower morbidity and mortality (e.g., pleurectomy/decortication), technological advancements in the field of radiotherapy (intensity-modulated radiotherapy, image-guided radiotherapy, stereotactic body radiotherapy, proton therapy), and developments in systemic therapies (chemotherapy and immunotherapy). These improvements have had as yet only a modest effect on local control and survival. Advances in the management of MPM and standardization of care are hampered by the evidence to date, limited by high heterogeneity among studies and small sample sizes. In this clinical guideline prepared by the oncological group for the study of lung cancer of the Spanish Society of Radiation Oncology, we review clinical, histologic, and therapeutic aspects of MPM, with a particular focus on all aspects relating to radiotherapy, including the current evidence base, associations with chemotherapy and surgery, treatment volumes and planning, technological advances, and reradiation. SN 2218-4333 YR 2021 FD 2021 LK https://hdl.handle.net/10668/27594 UL https://hdl.handle.net/10668/27594 LA en DS RISalud RD Apr 6, 2025