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What is Pleural Mesothelioma?

Pleural mesothelioma typically starts in the tissues surrounding your lungs (pleura). Less frequently, it begins in the tissue around the stomach's lining and the chest cavity (peritoneum).

Doctors diagnose pleural msothelioma using scans as well as blood tests and a biopsy. The biopsy will reveal the stage of the cancer and its cell type.

Treatment options differ depending on the stage and subtype of cancer. Certain treatments can prolong the duration of life and alleviate symptoms.

Signs and symptoms

Pleural mesothelioma is most often found in the tissue that surrounds your lungs (pleura). Cancer cells can spread to surrounding blood vessels and tissues and cause a variety of symptoms. The symptoms of pleural mesothelioma include chest discomfort, coughing, difficulty swallowing, fatigue, and a loss of appetite. In some cases the disease may cause fluid buildup inside your lungs known as pleural effusion.

If you've been diagnosed with mesothelioma by your doctor, they may prescribe chemotherapy or other treatments to help manage your disease. These treatments can enhance your quality of life and may prolong survival.

Mesothelioma is a rare disease, affects the thin tissue layer that protects your internal organs, including your lungs. It comes in several types, depending on where it develops in the mesothelium. The most well-known type of mesothelioma occurs in the form that affects the Pleura (tissue around your lungs). Other, less frequent forms of mesothelioma can occur in your abdomen (peritoneal peritoneal mesothelioma) or your heart lining (pericardial mesothelioma pericardial pericardial).

Your doctor will perform an examination of your body, and then review your medical records. Your doctor will ask you about your exposure to asbestos.

Doctors utilize imaging tests, like an X ray or CT scan to confirm a mesothelioma diagnosis. These tests can detect swelling of the pleura. These tests can also detect fluid between your lungs called Pleural effusion.

Depending on your stage of mesothelioma pleural, additional tests might be required to assist with treatment. Doctors usually prescribe a mixture of therapies for best results.

Some patients with pleural mesothelioma have a recurrence of their tumors. They could be candidates for additional or re-operations. To treat palliative conditions chemotherapy is commonly used following surgery to eliminate any remaining cancer cells or to lessen the severity of your symptoms. Doctors usually recommend a combination of drugs, for example the chemotherapy agents ALIMTA and cisplatin.

In some cases doctors will also prescribe the procedure of drainage for the treatment of pleural effusion in order to reduce your symptoms. This is accomplished by inserting a needle into your chest to eliminate the fluid from your space in your pleural.

Diagnosis

Pleural mesothelioma can be difficult to recognize because the symptoms are similar to many common illnesses. They can be characterized by breathlessness, chest pain and constant coughing. Some people experience swelling of the legs and arms, as well as weight loss and unproven high fevers. These symptoms usually manifest over a long period of time following asbestos exposure.

Doctors first conduct a physical exam and take note of their medical history. They then order imaging tests to look for signs of mesothelioma. Chest X-rays and CT scans can reveal asbestos's presence in the body, such as the pleural thickening, the accumulation of fluid between the chest wall (pleural effusion) and lumps that surround the lungs. A CT scan could be used to determine the stage of mesothelioma. It uses a series of X-rays that are taken from various angles to create a three-dimensional (3D) image of the body. A PET-CT scan can also detect cancerous cells.

If a patient is diagnosed with mesothelioma or a tumor, doctors will do a biopsy to confirm diagnosis and understand more about the mesothelioma type. They will take a tiny part of the tissue from the region that was indicated by scans. Then they will test the tissue for malignant cells, and then examine it under a microscope to determine the type of mesothelioma.

Mesothelioma is classified based on the size and number of tumors. It also depends on whether or the cancer has spread into lymph nodes or elsewhere of the human body. The doctor can determine mesothelioma a stage using Roman numerals that range from 1 to 4. Stages I and II are typically used to indicate that the lymphoma are localized. In contrast the stages III and IV suggest that the cancer has expanded beyond the pleura to other tissues and lymph nodes.

In addition to the biopsy, doctors may perform a thoracoscopy as well to look inside the lungs of a patient for signs of mesothelioma. This procedure involves cutting between two ribs of the chest and inserting a flexible tube that has a video camera attached. The tube is inserted into the pleura in order to examine it for any abnormalities or to take tissue samples.

Treatment

Pleural mesothelioma is not curable, but treatment options can extend life expectancy and relieve symptoms. Patients can receive multimodal therapy at the top cancer centers.

what does mesothelioma do are trained to detect and stage the disease and determine the most effective treatment options. This could include surgery, radiation and chemotherapy. Combining these treatments produces the best results.

The treatment strategy for a pleural mesothelioma patient will depend on where the tumor is located and which subtype it is. Resection is an option for some patients suffering from a sarcomatoid tumor. The doctor will remove part of the affected tissue. However, in many cases of pleural mesothelioma the tumor is not resectable. Resectability is determined by size, location and extent of the cancer, the patient's age general medical and health history, and the type of tests performed like a chest CT, MRI or PET scan.

Surgery can enhance the quality of life a patient by relieving symptoms such as fatigue, pain, and difficulty breathing. The most frequent procedure for pleural msothelioma is to remove the affected lung, pleura or any visible tumors. This procedure is known as a pleurectomy and decortication (P/D). In some instances, doctors may need to also remove the sac lining around the heart, also known as the pericardium, as well as a portion of the diaphragm. This operation is called extrapleural pneumonectomy.


After a surgical procedure, doctors may administer chemotherapy throughout the body to kill any remaining mesothelioma cells. Chemotherapy is administered either prior to or after surgery or both, and it is usually used in combination with other treatments.

Immunotherapy, which affects the body's natural immune system to identify and destroy cancerous cells, is another option for mesothelioma treatment. The immunotherapy drugs, like pembrolizumab (Keytruda) and Nivolumab (Opdivo) are currently FDA approved for pleural mesothelioma, while other immunotherapies are also available in clinical trials.

Patients with a pleural cancer should talk to their doctor about participating in a clinical study to explore new treatments. These trials may provide superior results over traditional treatments and permit patients to test new treatments that haven't yet been approved by an extensive group.

Prognosis

The pleural mesothelioma is a cancer that develops within the lung tissue. It takes between 20 and 50 years for asbestos exposure to cause this cancer, which implies that many people are in their 70s or more by the time they get diagnosed. It has a long latency, meaning that symptoms might not show up until the disease has progressed.

The symptoms can vary depending on where the tumor is located and may include shortness of breath and back pain, chest or stomach and coughing. These symptoms can be caused either by fluid accumulation around the lung or by inflammation. If the tumor is in the lining of the abdomen (peritoneum) symptoms may include constipation, swelling nausea, and an unprovoked loss of weight.

Doctors make use of biopsies and imaging tests to diagnose pleural mesothelioma. Biopsies help doctors determine the type of cell which affects how the tumor responds. Doctors use these findings to determine a mesothelioma patient's stage. The stage is a measurement of the size of the cancer and the speed at which it grows. It also reveals whether the cancer has spread to lymph nodes or other organs.

There are three types: epithelioid cells, sarcomatoid cells and biphasic mesothelioma. Epithelioid mesothelioma makes up 60 percent to 80% of cases and is more straightforward to treat than biphasic or sarcomatoid. Sarcomatoid is more difficult to treat than other types and can spread more quickly.

If a pleural cancer is diagnosed doctors can treat it to stop the cancer from growing and causing additional symptoms. Chemotherapy is commonly used to treat symptoms and reduce signs. Patients may also be able to take part in clinical trials to get access to treatments that have not yet been approved by the Food and Drug Administration.

Pleural mesothelioma, which is a rare disease with complex symptoms, is a rare occurrence. People who have been exposed asbestos should consult a doctor to determine if they require to be diagnosed with mesothelioma. This test could include a chest CT scan ultrasound, X-ray or MRI of the chest as and a tissue biopsy. A specialist can determine the most appropriate treatment depending on the patient's specific circumstances and requirements.

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