label: Pleural Mesothelioma pT4 TNM Finding v7
label_lc: pleural mesothelioma pt4 tnm finding v7
description: "Pleural mesothelioma with a locally advanced technically unresectable tumor.  Tumor involving all the ipsilateral pleural surfaces (parietal, mediastinal, diaphragmatic, and visceral pleura) with at least one of the following: diffuse extension or multifocal masses of tumor in the chest wall, with or without associated rib destruction; direct transdiaphragmatic extension of tumor to the peritoneum; direct extension of tumor to the contralateral pleura; direct extension of tumor to mediastinal organs; direct extension of tumor into the spine; tumor extending through to the internal surface of the pericardium with or without a pericardial effusion or tumor involving the myocardium.  (from AJCC 7th Ed.)"