Malignant Mesothelioma At a Glance

Malignant mesothelioma (cancer of the mesothelium) is a disease in which cells of the mesothelium become abnormal and divide without control or order. It is a rare form of cancer that most frequently arises from the cells lining the sacs of the chest (the pleura) or the abdomen (the peritoneum). Malignant mesothelioma is closely linked to exposure to asbestos - a natural fiber that was once used in manufacturing a wide variety of industrial and household products. Workers involved in asbestos mining, milling and manufacturing are at the greatest risk for developing malignant mesothelioma. Also at high risk are shipyard workers, workers in the heating and construction industries, and other tradespeople. Family members and others living with asbestos workers have an increased risk of developing malignant mesothelioma, and possibly other asbestos related diseases as well. Cases of malignant mesothelioma have even included people whose only exposure was breathing the air through ventilation systems.

Although reported incidence rates have increased in the past 20 years, malignant mesothelioma is still a relatively rare cancer. Between 1973 and 1984, there has been a threefold increase in the diagnosis of pleural mesothelioma in Caucasian males. From 1980 to the late 1990s, the death rate from malignant mesothelioma in the USA increased from 2,000 per year to 3,000, with men four times more likely to acquire it than women. The actual rates may be even higher however, since it is possible that many cases of malignant mesothelioma are misdiagnosed as adenocarcinoma of the lung, which is difficult to differentiate from mesothelioma.

The average age of diagnosis of malignant mesothelioma is 60. The average survival time varies from 4 to 18 months, and death is usually due to infection or respiratory failure from the progression of the mesothelioma

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Malignant Mesothelioma Diagnosis

The most critical form of mesothelioma is the malignant form. Known as malignant mesothelioma, the primary causal factor is asbestos infection. According to the US National Cancer Institute, "Malignant mesothelioma is a disease in which cancer (malignant) cells are found in the sac lining the chest (the pleura), the lining of the abdominal cavity (the peritoneum) or the lining around the heart (the pericardium)."

Mesothelioma can be classified into three types – pleural mesothelioma, peritoneal mesothelioma and pericardial mesothelioma. Pleural mesothelioma refers to a cancer of the lining of the lung (pleura), peritoneal mesothelioma refers to a cancer of the abdominal cavity (peritoneum) lining, and pericardial mesothelioma is a cancer that occurs in the lining that surrounds the heart (pericardium). The subtypes of mesothelioma are of three basic types, one very aggressive, one least aggressive, and one lying between the two extremes.

Malignant mesothelioma can be diagnosed through several imaging techniques. These imaging techniques enable physicians to assess mesothelioma. Once mesothelioma is suspected, patients are advised to undergo several tests, like X-ray, Computed Tomography (CT) scan, Magnetic Resonance Imaging (MRI) scans, and Positron Emission Tomography (PET) imaging. The physician may also like to undertake special mesothelioma tests like thoracoscopy, peritoneoscopy and biopsy.

Learning about the stage of mesothelioma is a critical factor that helps physicians to decide the treatment plan. If the cancer is confined to the pleura, mesothelioma is considered localized. If the cancer spreads beyond the pleura and to other parts of the body such as the lungs, abdominal cavity, lymph nodes and the chest wall, mesothelioma is considered to be in an advanced stage.

The oft used and the oldest system for determining the stages of mesothelioma is the Butchart System. The Butchart System is based on the extent of the primary tumor mass available in a patient. This system divides mesothelioma into four stages. The TNM system, a slightly advanced system over the Butchart System, determines staging through variables of tumor in mass and the spread, the lymph node involvement and metastasis. However, the latest system is known as the Brigham System, where staging is done as per the respectability and lymph node involvement. In spite of such modern techniques, a definitive diagnosis of mesothelioma still remains possible through fluid diagnosis and tissue biopsy.

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Malignant Mesothelioma -- The Cancer Of The Mesothelial Cells

The diseased defined

Mesothelium is the protective tissue that covers the chest cavity, abdominal cavity and the cavity around the heart and also produces a special lubricating fluid that allows the internal organs of the body to move around. Malignant Mesothelioma can be defined as the cancer of the mesothelial cells which become abnormal and start dividing without any order. Majority of the mesothelioma patients have a prior history of exposure to asbestos.

Types of malignant Mesothelioma

Malignant Mesothelioma or simply Mesothelioma can be divided into 3 main types namely

- Epithelioid

- Sarcomatoid

- Mixed/biphasic

Of these, Epithelioid is the most common (50% to 70% cases) and stands the best chance of recovery. Sarcomatoid type is seen in 7% to 20% cases whereas mixed/biphasic type is seen in 20% to 35% cases.

Approximately, ¾ of the total cases of Mesothelioma originates in the chest cavity (pleura) and is known as pleural mesothelioma. The cancer affecting the lining of the abdomen (peritoneum) is called the peritoneal mesothelioma and that affecting the “sac like” space around the heart (pericardial cavity) is called the pericardial mesothelioma. Mesothelioma at times also affects the covering layer of the testicles. However, the last two types of cases are quite rare.

Diagnosis of malignant Mesothelioma

The tumors of the mesothelium can either be benign (non cancerous) or malignant (cancerous). So whenever there are symptoms like shortness of breath, pain in chest/abdomen or swelling in the abdomen, you should consult your doctor immediately.

After the initial X-rays and scans, the doctor may look inside the chest cavity (in case of pleural tumor) with an instrument called thoracoscope and the test is called thoracoscopy. In case of tumor in peritoneum the doctor may go for peritoneoscopy with the help of a tool called peritoneoscope. Finally, if the abnormal tissue is found then a biopsy is done, whereby a piece of the unnatural tissue is cut out and placed under microscope for examination.

After the confirmed diagnosis of Mesothelioma it is also essential to ascertain its stages i.e. whether it is in localized stage or in advanced stage. In the localized stage, the cancer is found in the lining of the chest cavity or in the diaphragm or the lung. Advanced malignant Mesothelioma can again be divided into 3 stages namely stage II, III and IV. In stage II, the cancer spreads beyond the chest lining to lymph nodes and in stage III it spreads into chest wall, center of the chest, heart, through the diaphragm or abdominal lining, etc. The final or the fourth stage is the one in which the cancer has already spread to distant organs.

Treatment

Depending on the stage of the cancer, its location and the health, age and medical history of the patient, 3 types of treatments are mated out to malignant Mesothelioma patients – surgery (to remove the tumor), radiation therapy (application of high energy rays) and chemotherapy (usage of combination of drugs). This apart, if there is any accumulation of fluid in the chest or abdomen, then the doctor needs to drain it out and the process is regarded as thoracentesis and paracentesis respectively.

So be aware of the disease, such that you can prevent it at the very onset.

Fred Lindell is a successful writer and publisher of health related issues, for more informative articles go to http://www.mesotheliomaplaza.com

Malignant Mesothelioma

Malignant mesothelioma is usually a fatal disease. Often by the time it is diagnosed, the cancer has spread extensively, even though the patient may not have had any earlier symptoms. Malignant mesothelioma affects about 2,000 people each year in the US. It is a fast-spreading cancer, but there are several treatment methods.

Research is being undertaken to alleviate the pain and other symptoms, to improve the quality of life for sufferers, and to find cures for this devastating disease. Life expectancy rates for sufferers normally range from approximately nine months to a year after diagnosis. This can be improved to two, or in rare cases five years with extensive and aggressive treatment, if the cancer is detected early.

Malignant mesothelioma is usually caused by exposure to asbestos, a carcinogenic material used in construction. A few cases are due to exposure to a mineral silicate called zeolite, or to thorotrast, which was used in the pre-1960s as a radiation contrast dye to enable blood vessels show up on X-rays.

The three main types of malignant mesothelioma are epithelial, sarcomatoid and mixed. The most common type is epithelial mesothelioma. Once malignant mesothelioma has been diagnosed, the next step is to determine what stage the disease has progressed to. This helps to fix how extensively the tumor has spread. There are four levels of the staging. Stage I responds best to treatment, as in this stage the tumor is limited to the pleural lining of the chest.

CT scans and MRIs are used to determine the extent of the spread of the tumorous cells, and what treatment is best suited to the case. The disease usually affects the mesothelium, a membrane that covers and protects most of the internal organs of the body. Most cases of mesothelioma affect the pleura that lines the chest cavity and the lungs. Mesothelioma can also affect the peritoneum, which covers the abdominal cavity. In rare cases, it can affect the pericardium, which covers the heart.

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