Tag Archives: mesothelioma prognosis

Oncologists, Genetic Testing and How To Target Cancer Tumors

Cancer Research is going in an entirely new direction based on genetic testing where tailored treatments can now focus on and cancer and genetic testingtarget specific cancer tumors.

And to demonstrate this, we will review a recent (2014) success story from a young man (23-years) who submitted by faith and determination to the investigative process of genetic testing with tailored drug treatments for cancer cure.

Original story:  Wall Street Journal: March 28, 2016 

In February 2014, after a lengthy struggle with a head-cold, nosebleeds and body fatigue, Evan Johnson, a senior student at the University of North Dakota, decided to visit the Mayo Clinic when he began to have bruises and chest pain.

Genetic testing at the Mayo Clinic discovered an acute form of Myeloid Leukemia; a cancer disease that forms, grows, and can  spread quickly through out the body.

Fortunate for Mr. Johnson, oncologists today are taking new directions with genetic testing to discover ways to make strong  offensive action against cancer.  The doctors know cancer can evolve to resist treatment(s), and they now use these complications as potential advantages to identify alternate cancer targets they can use different drug treatments on, as the cancer changes.

(Related Science)

The medical team working at the Mayo Clinic on Johnson’s case moved quickly in their investigative research to discover several effective treatments to use against the cancer genetic mutations that were pushing his disease.  While his end story is successful, Evan had to endure a failed stem cell transplant, six various  prescribed courses of medical treatment,  four cancer relapses and other life-threatening problems that occurred when treatment went beyond the desired effect.

For Evan’s mother, Carol Johnson:

We truly felt like we were in a war.  We didn’t know where the [cancer] enemy was at any given moment and what means [the cancer] was going to use to attack us next.

After nine months into his cancer treatment, Evan’s leukemia evolved and developed a new mutation, unexpectedly!  The change allowed the cancer to escape the cure of the treatment being administered.  But, the deviation in the cancer gave his oncologists  a new target that was vulnerable to other cancer fighting drugs.  Mr. Johnson’s doctors modified and fine-tuned their treatment for him and managed to defeat the leukemia; which cleared the way for Evan to receive a second, successful stem cell transplant. Consequently, Evan Johnson has been cancer free for more than a year.

Genetic Testing: Cancer Treatment’s
New Direction

Dr. Pashtoon Kasi, an oncologist at the Rochester,Minn.-based Mayo Clinic, is a team-member that assisted in Evan Johnson’s medical care.  Dr. Kasi says the medical team could see the cancer evolution  happen by regular genetic testing, which allowed Mr. Johnson’s treatment to be customized to his particular need.  “Personalization in real time… This is where oncology is headed down the line,” says Dr. Pashtoon Kasi.

According to Dr. Jose Baselga, chief physician at Memorial Sloan Kettering Cancer Center in New York:

A decade ago, we were shooting in the dark.  If first-line or second-line treatments failed, we either had nothing to do next, or what we did was totally disconnected with the biology of the disease.

With today’s technology cancer patients with advanced forms of the disease can be treated at major health centers, expecting their tumors to be genetic sequenced.  The genetic testing provides a Genetic Testing Targets Cancer Mutationshope in finding a match to the many new drugs that target exactly and stop the cancer mutations that stimulate the cancer’s growth.  Good matches can produce excellent results with dramatic effect at reducing tumors, but “precision drug treatment” is not always a cure.  Sometimes the treatment is thwarted when a tumor evolves.  This forces oncologists to seek the identity of new mutations that can be stopped with effective treatment.

Oncologists, Genetic Testing and New Cancer Treatments: A Game of Whack-a-Mole

The research process of identifying new mutations and matching the next precision drug treatment to stop cancer growth is.. “like a Whack-a-Mole game,” according to Dr. Baselga.  Each attempt to solve the cancer problem is piece-meal resulting only in temporary or minor improvement.  And as new mutations occur, the medical strategy is to find a new treatment (hammer) to hit it with.

But the real challenge to this approach of medical treatment is finding drugs that treat cancer-causing mutations; there just aren’t that many, yet.  For example, a drug found that works on a patient with melanoma might not be successful on a colon-cancer patient, even if they have the same mutation.  And, sometimes a drug that is not yet approved for the type of cancer being treated is suggested based upon DNA tests that match the tumor mutation, which jeopardizes the possibility of compensation for expensive drugs.

Regarding this method of cancer treatment, Dr. Kasi says:

It’s not for every patient or [form of] cancer.  But as we develop more drugs and understand more [treatment] pathways, it would be a reasonable option for a lot of our patients.

Evan Johnson returned to his home after spending 17 months at the Mayo Clinic enduring medical Whack-a-Mole, being released with a good chance of sustained, durable remission of Myeloid Leukemia and the cancer’s genetic mutations.

An account of Evan’s case has been published by Dr. Pashtoon M. Kasi, Mark R. Litzow, Mrinal M. Patnaik, Shahrukh K. Hashmi, and Naseema Gangat in the journal:

Leukema Research Reports (January 2016)

 

North Ireland Deaths From Mesothelioma and Asbestosis in 2012

Asbestosis Big Problem in Northern Ireland

Asbestosis Lung

 

The Northern Ireland General Register Office, the province’s record keeper, said that mesothelioma and asbestosis were the primary or secondary causes of some 75 deaths annually.

In little more than five years, there have been more than 300 estimated deaths in Northern Ireland from asbestos exposure, according to a U.TV article, citing a recent government report.

This government report also suggests  there were possibly another 40 lung cancer deaths each year where asbestosis or mesothelioma were contributing factors.  Mesothelioma is a rare and deadly disease that destroys the linings of the heart, lungs or abdomen.  Exposure to asbestos is nearly always the cause of mesothelioma.  And asbestosis is specifically a lung disease caused by inhaling asbestos.

The situation is serious were unlike the United States which phased out asbestos in building materials in the 1980s, asbestos continued to be used in Northern Ireland until about 2000. The Health and Safety Executive for Northern Ireland (HSENI) organization predicts the current number of deaths to rise.  It has organized free training called “Asbestos Training Pledge NI” as a response to help local construction workers protect themselves from asbestos exposure.

Asbestos is a fibrous mineral once used extensively in building materials because of its high tensile strength, durability, high availability, and low cost.   Given its’ early widespread adoption in the United States, asbestos continues to be a problem there as well.  Since the 1970s,  research has linked asbestos exposure definitively to multiple painful and deadly diseases, such as mesothelioma.

Many manufacturers knew their asbestos products posed serious health risks, but some hid this information from both their workers and the public. Have you or a loved one developed mesothelioma after exposure to asbestos while at a workplace?  If so, then call a Lawyer who is an expert in Mesothelioma and Asbestosis, and ask them for a free legal consultation about a potential mesothelioma lawsuit.

More Mesothelioma and Asbestosis Information

 

What Are The Stages of Mesothelioma Cancer Development?

Mesothelioma Cancer

One rare form of cancer is called Mesothelioma, a malignant tumor in the mesothelial tissues of the lungs and the abdomen, arising from the inhalation of asbestos. Because it is rare many people are unaware of this fatal disease. There are many people who go undiagnosed and die of Mesothelioma.  While there is a growing awareness of asbestos hazards  to health, too many people have not learned about Mesothelioma and therefore do not understand its cause, nature, signs and treatment. Today,  physicians find it difficult to detect Mesothelioma as its symptoms are similar to other lung diseases such as pneumonia and lung cancer. Moreover, it can take many years, decades, for a person exposed to asbestos to develop Mesothelioma.

Mesothelioma Awareness

Being unaware of Mesothelioma poses higher risks since it deters diagnosis and treatment. A person undergoing treatment must know the different stages of the cancer or the extent of the disease. Chances of recovering from Mesothelioma and the kind of treatment depend on the stage of the illness.

Mesothelioma Staging Systems

There are basically two staging systems used for Pleural Mesothelioma (lungs): TNM system and Brighan system. These staging systems are also used in other kinds of cancers; however, the first is commonly used. There is no established method in determining the stage of the Peritoneal Mesothelioma cancer (abdominal) so the TNM system is used.

The Mesothelioma TNM System

There are three variables in the TNM system: tumor, lymph nodes and metastasis. In the earliest stage of Mesothelioma, stage 1 (one), the malignant Mesothelioma cells start to grow and multiply only one layer of the pleura. The pleura is the membrane that encloses the lungs and lines the wall of the chest cavity. However, there are some instances wherein the pericardium (membrane that covers the heart) and diaphragm cover are already affected. In this case, the cancer patient is still in stage 1 (one) Mesothelioma.

In the second stage, the two layers of the pleura are already affected by Mesothelioma. Take note, however, that in this stage, only one side of the body is affected. Normally, the pleura produces only small amount of lubricating fluid that allows easy expanding and contracting of the lungs. The excess fluid is absorbed by the blood and the lymph vessels so there’s a balance between the amount of fluid produced and removed. During the second stage Mesothelioma, fluid starts to build up between the membrane of the lungs and the membrane of the chest wall, resulting to pleural effusion. The increase in the volume of fluid produced causes shortness of breath and chest pain. Other Mesothelioma cancer patients experience dry and persistent cough. Diagnosis of the pleural effusion is achieved through a chest x-ray.

Stage 3 (three) Mesothelioma means that the malignant cells have already spread to the chest wall, esophagus and the lymph nodes on one part of the chest. The patient may suffer severe pain near the parts affected. When not treated immediately or when the Mesothelioma patient doesn’t respond well to medication, the cancer may advance to the fourth stage.

Stage 4 (four) Mesothelioma is formidable since at this stage the Mesothelioma cells have penetrated into the bloodstream and other organs in the body like the liver, the bones and the brain. The lymph nodes on the other side of the chest may also be affected by Mesothelioma in stage 4 (four).

The Mesotheloma Brighan System

Brighan staging system, on the other hand, determines whether the Mesothelioma can be surgically removed or not and whether the lymph nodes are affected or not.

Stage 1 (one) Mesothelioma, the lymph nodes are not yet affected and the patient can still recover through surgery.

Stage 2 (two) Mesothelioma, surgery can still be executed but some lymph nodes have already been infiltrated by the cancer cells.

Stage 3 (three) Mesothelioma, the heart and chest wall are already affected; thus, surgery is no longer advisable. The lymph nodes in this stage, however, may or may not be affected.

Stage 4 (four) Mesothelioma, the final stage, cancer cells have already gone to the bloodstream and other parts of the body like the heart, brain, bone and liver. In most cases, a patient who has reached stage 4 (four) Mesothelioma only has four to twenty-four months to live.

Identifying Mesothelioma and Asbestos Related Diseases

What is Asbestos?

Asbestos is a term for several commonly found fibrous magnesium-silicate minerals. Due to their durable and versatile nature, asbestos materials were used widely in construction and manufacturing for most of the 20th century. Today, it is widely understood that asbestos is an extremely harmful substance. However, this was not always known. Even minimal inhalation of these asbestos fibers can develop into serious, and even fatal, conditions. In 1918, The United States Department of Labor issued a bulletin stating that there was an “urgent need for more qualified extensive investigation” into the severe harm caused by asbestos. Nevertheless, many industries kept using asbestos.

For decades, construction workers, vehicle mechanics, shipyard workers, electricians, and others employed in the building trades did not realize the danger, as they were exposed to asbestos on a daily basis. Even now, workers renovating or demolishing old buildings may encounter asbestos. The danger was not limited those who directly handled the asbestos. If a worker had substantial exposure to asbestos, his or her co-worker or spouse also was vulnerable to asbestos-related illness.

Eventually scientific research confirmed the life-threatening risks caused by exposure to airborne asbestos fibers. However, companies still ignored the danger, and continued to make and use products containing asbestos, until it was banned during the latter part of the 20th century. Asbestos was used widely in heavy industry, as well as insulation in hair dryers, electrical wiring, cement, paper, roofing materials, floorboards, and hundreds of other common items. Despite the legal ban on new uses, over one million Americans are endangered by exposure to existing asbestos sources every year.

Asbestos Removal

Asbestos still exists in many older buildings, including schools, hospitals, airports, and factories across Michigan. From skyscrapers to residential buildings, asbestos continues to threaten the health of unsuspecting citizens.

Removal of asbestos is a complex process. Special precautions are necessary, to avoid release of asbestos fibers into the surrounding environment. Otherwise, the asbestos will endanger anyone in the area, who inhales or ingests its odorless and tasteless microscopic fibers. The danger is great, because any amount of asbestos can be harmful. For these reasons, there is a conflict between those who push for removal of asbestos from existing structures, and those who oppose it, if it is unlikely to enter building ventilation systems.

Some companies and government agencies arrange for asbestos removal to prevent public exposure, while others do so to avoid potential litigation. Still other projects are driven by legislation or public outcry for asbestos removal from public buildings, including many older schools across the country.

Mesothelioma and Asbestos Related Diseases

Three serious health conditions may result from exposure to even a small amount of airborne asbestos fibers. All three conditions result from inhaling the fibers, which become embedded in the lungs or other parts of the body. It can take years for symptoms of any of these asbestos illness to appear. Some experts believe that no symptoms appear for more than a decade after exposure. In some cases, it takes even longer for the illness to become evident. The following is information about the three major conditions resulting from asbestos exposure.

Mesothelioma

The medical profession used to consider this type of cancer as quite rare. While still uncommon, the number of workers diagnosed with mesothelioma has risen. Now, about 3,000 new mesothelioma cases are reported in the United States every year. The incidence of this disease is increasing at an even higher rate in Europe. Mesothelioma is a form of cancer, usually caused by asbestos fibers that actually penetrate lung tissue. It is also possible for mesothelioma to develop after these fibers penetrate the heart or the abdomen. While doctors have found many different causes for other forms of cancer, the only definitely identified cause of mesothelioma is exposure to asbestos.

Asbestosis

Sometimes, this term is used incorrectly to refer to all ailments resulting from asbestos exposure. However, it is actually a very specific condition. Asbestosis (also known as interstitial fibrosis) develops when inhaled asbestos fibers cause scarring of the lung tissue. Over time, this scarring reduces the capacity of the lung. Individuals with asbestosis may suffer disabling lung impairments, and must be monitored closely because they are at increased risk of even more serious asbestos-related conditions.

Lung Cancer

Lung cancer is all too common in our society and has many possible causes. However, there is evidence of a link between asbestos exposure and lung cancer. The risk of lung cancer is even higher for an individual who has been exposed to asbestos, and also smokes cigarettes. Mesothelioma Treatment Options “Staging” is a term that medical professionals use to define the spread and extent of cancers like mesothelioma. In general, the least serious “first stage” only involves the lining of the lung. By the most serious “stage four,” cancer has spread to other organs of the body.

Medical researchers continue to improve treatment for mesothelioma. The most common form of treatment is still chemotherapy. With new combinations of drugs, such as pemetrexed and carboplatin, chemotherapy may slow the progression of cancer in some victims. Radiation or surgery is the an appropriate treatment for other mesothelioma patients. In addition, some experimental treatments are yielding promising test results and offer hope for future victims.

Mesothelioma is still regarded as a deadly form of cancer. The average life span after diagnosis is only one to two years. However, the stage of the disease when it is discovered, and an individual’s response to treatment are significant factors in determining life expectancy. Due to medical progress, 20% of those diagnosed at an early stage of mesothelioma have at least 5 more years to live.

Mesothelioma Symptoms and Mesothelioma Diagnosis

Men are many times more likely to develop mesothelioma than women. This may be due to the higher percentage of men who work in factories and construction, where there is an increased risk of exposure to airborne asbestos fibers. Older men are more likely to be diagnosed with mesothelioma. This is not surprising, because of the relatively long period of time between asbestos exposure and the onset of this cancer.

Physicians may have difficulty diagnosing mesothelioma, because initial symptoms, such as shortness of breath and chest or abdominal pain, can be confused with other conditions. There are tests to rule out mesothelioma, including a thoracoscopy or a peritoneoscopy.

  • If you have symptoms and believe that you may have past asbestos exposure, see your doctor immediately.
  • If you or a loved one suffer from asbestos related cancer or mesothelioma cancer, talk today with an experienced asbestos lawyer specialist, Jerry Neil Paul.

 

Mesothelioma – A Quick Short Introduction

What Is Mesothelioma?

Mesothelioma is a rare cancer that occurs in the tissue covering the stomach and bowels (peritoneal tissue) or in the tissue covering the outside surface of the lung (pleural tissue). 90% of the cases of Malignant Mesothelioma are caused by exposure to Asbestos.

What Is Asbestos?

Asbestos is a silicate mineral made up of masses of tiny fibers that are as strong as steel and are highly resistant to heat and chemicals. Fibers of Asbestos are inhaled or swallowed and are able to penetrate to the outside surface of the bowel or to the outside surface of the lung where they become trapped. These trapped fibers can cause a reaction that leads to Mesothelioma Cancer. Mesothelioma symptoms may not appear until about 20 or 40 years from first exposure to airborne Asbestos fibers.

Mesothelioma Treatments

Mesothelioma treatments include radiation to shrink cancer tissue or cells, chemotherapy to stop the reproduction of cancer cells, photodynamic therapy and some times, surgery to remove cancerous tissue.  There also some progressive Clinical Trials offering  the hope of a cure found in their research for new solutions.  Clinical trials are available to qualified volunteers.

You Are Entitled To Compensation!

People,  who are faced with Mesothelioma Diagnosis, are entitled to compensation from the manufacturers of any asbestos-containing product to which they were exposed in sufficient quantities to cause disease.  You can discover a qualified Mesothelioma lawyer on the Internet.   Be sure to evaluate and consider the success case references when looking for counsel and representation.

The Ten-Steps After a Mesothelioma Diagnosis: Mesothelioma Prognosis & Life Expectancy

Mesothelioma Prognosis & Life Expectancy

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Click on the e-Book to get the 10-step guide about choosing a Mesothelioma Treatment and Clinical Trial

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On this page:

Mesothelioma is a deadly form of cancer caused by inhalation of asbestos fibers, which imbed themselves in the mesothelia, or lining, of the lungs, abdomen, heart and/or testicles.  Mesothelioma symptoms typically arise decades after initial exposure to asbestos, and even once they appear they are often mistaken for symptoms of another condition.  Consequently, mesothelioma is usually diagnosed in the latter stages of its progression, and for most patients this translates to a very poor prognosis.  The majority of case studies indicate the life expectancy for a person diagnosed with mesothelioma is less than a year.

In rare cases, mesothelioma patients have survived for up to a decade or more, and the search for new mesothelioma treatments is ongoing. This is small consolation to patients and their families who are suffering from the effects of this horrible disease. If you believe you or a loved one was exposed to asbestos due to the negligence of a former employer or other party, you are advised to speak with a mesothelioma attorney.  By filing a personal injury or wrongful death lawsuit you may be able to recover compensation for pain and suffering, medical bills and other factors.

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Statistics Relating to Mesothelioma Prognosis

On the whole, statistics relating to mesothelioma are very inconsistent. For example, some studies show only 5 percent of mesothelioma patients surviving more than five years, while others show 10 percent surviving. The American Cancer Society estimates the average survival time of a mesothelioma patient after diagnosis is four to 18 months.

Much of the discrepancy in statistics comes down to the fact that mesothelioma — particularly peritoneal mesothelioma (mesothelioma of the abdomen and or testicle lining) and pericardial mesothelioma (mesothelioma of the heart lining) — is so rare. It is caused solely by long-term asbestos exposure, and those who worked in industries such as shipping, mining and construction make up the vast majority of mesothelioma cases.

Another reason for the variance in mesothelioma statistics is that many of the studies on which they are based looked at people in the past, and treatment methods have since changed and improved.  For instance, researchers and oncologists now know that the prognosis for patients with mesothelioma tumors comprised of sarcomatoid or mixed mesothelioma cell types is grimmer than for patients with tumors comprised of other cell types.

The inconsistency in mesothelioma statistics can be frustrating for patients and their families.  However, when certain factors exist the prognosis on a patient may be much better than the average.  Some mesothelioma experts believe that prognosis of the disease depends much on individual differences and less on the success of conventional mesothelioma treatments such as chemotherapy and radiation therapy. The factors that determine a mesothelioma patient’s prognosis and life expectancy are covered below.

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Factors Associated with Mesothelioma Life Expectancy

A mesothelioma patient’s prognosis and life expectancy is very much dependent on various factors such as the following:

Overall health. Patients who are physically fit and follow certain dietary guidelines have a better change of surviving longer.

Age. For many reasons, older patients are less-likely than young patients to survive a long time.

Symptoms. Mesothelioma symptoms are a strong indicator of a patient’s prognosis. For example, patients who have not experienced chest pain may have a better prognosis. On the flip side, those who have chest pain or shows signs of cancer cachexia (“wasting syndrome”), which is characterized by the inability to maintain weight, typically have a poor prognosis.

Smoking. While smoking does not cause mesothelioma, it can cause lung cancer, and patients who smoke are less likely to be physically fit and more likely to have compromised immune systems.

Type of mesothelioma. Prognosis also depends on whether the patient has pleural mesothelioma, pericardial mesothelioma or peritoneal mesothelioma. By taking biopsies and imaging tests, your doctor will be able to give you a better idea of how long you or your loved one can expect to survive.

Size of the tumor. Patients with smaller tumors have a better chance of exceeding the median survival time.

Location of the tumor. The life expectancy of a mesothelioma patient can be further determined by the location of the tumor and the degree to which is has spread. For example, patients with pleural mesothelioma that has spread from the lungs’ lining to the organ itself typically have a poor prognosis.

Resectability of the tumor. Resectable tumors are those that can be seen and removed via surgery. The resectability of a mesothelioma tumor depends on its size, stage, cell subtype and location. Though many (but not all) stage 1, stage 2 and stage 3 tumors are resectable, most experts agree that only epithelioid tumors should be resected. Tumor removal is often accompanied by chemotherapy or radiation treatment to kill cells that cannot be seen, and to prevent “seeding,” whereby cancerous cells left behind in surgery imbed in adjacent tissues and lead to cancer in these areas.

Factors relating to blood. Patients with normal levels of red cells (hemoglobin), white cells, platelets and LDH typically fare better than patients with lower amounts of these blood components.

Mesothelioma cell type. Tumors comprised of sarcomatoid or biphasic (mixed) cell types usually lead to a poorer prognosis than tumors comprised of epithelioid cells.

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Pleural Mesothelioma Staging and Models

A patient’s prognosis, or outlook, is based on the stage of his or her mesothelioma. Pleural mesothelioma — by far the most common form of the disease — is the only type of mesothelioma for which official “staging” systems exist.

In the United States, the most common system used for staging is the American Joint Committee on Cancer (AJCC) TNM staging system, which takes into account the original tumor (T), how much it has spread to nearby lymph nodes (N) and whether it has metastasized (M) to other areas such as the lungs or peritoneum.

Cases of pleural mesothelioma are classified into four stages, with stage 4 being the most advanced stage.  To determine the stage of a patient’s mesothelioma, doctors will:

  1. perform a physical exam
  2. run imaging tests (FDG-PET/CT scans)
  3. take biopsies

Nodal status. Mesothelioma cancer cells that spread to the lymph nodes are especially lethal.  Nodal status is one of the most important indicators of a patient’s prognosis.

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Mesothelioma Attorneys

Researchers around the world are engaged in a concerted and noble race to develop effective treatments for mesothelioma, but currently little can be done to improve a patient’s prognosis once mesothelioma has been diagnosed. Some patients are able to stave off some of the more unpleasant effects of the disease through dietary changes, but ultimately mesothelioma overwhelms the body’s defenses and leads to death.

In order to develop new treatments to combat the disease at its earlier stages, and to improve treatments currently used, researchers are attempting to identify biological markers in patients who are likely to develop the disease.  Meanwhile, existing patients’ only recourse to pay for their medical bills is to take legal action against those responsible for their exposure to asbestos.  Generally, mesothelioma lawsuits have a far better chance of ending in a settlement or court award than other kinds of civil lawsuits.  If you or a loved one has suffered from the effects of malignant mesothelioma or asbestosis, contact a personal injury attorney as soon as possible to discuss your options.

Genetic Predisposition and Susceptibility: How to Get Mesothelioma Cancer?

 

Recent researchers studying mesothelioma cancer are proposing a genetic component to this aggressive cancer long associated with asbestos.  Dr. Jill Ohar MD at Wake Forest School of Medicine reported in 2010 at an International Symposium about her research that supported the possibility that people who develop mesothelioma may have a genetic predisposition and susceptibility.

Between 1940 and 1980, asbestos was commonly used as a material in the construction, particularly in shipbuilding, aircraft fabrication, plumbing, insulation, railroad and automotive brakes and clutches, ceiling tile, floor tile, drywall, fireproofing materials, cement, and many, many other uses.  It is estimated that 40% of U.S. employees or nearly 27 million Americans , have been unknowingly exposed to asbestos in their place of work; even when employers and manufacturers of asbestos products knew the danger.  Fortunately, many of the persons exposed to asbestos have not developed mesothelioma cancer.  So, the frequency of new mesothelioma cases identified in recent years has stabilized at a constant of approximately 3,000 per year.

Because so few persons who have been exposed to asbestos develop mesothelioma cancer leads researchers to wonder why and ask what could differ among workers who have experienced equal exposure to asbestos?  Why does a majority of asbestos exposed workers not develop mesothelioma cancer, and the remainder do?

Dr. Ohar and fellow researchers studied a database of 5,000 people who have been exposed to asbestos in which only 6.5% or 327 incurred the mesothelioma cancer.  The researchers questioned all 5,000 individuals regarding their exposure to asbestos at work and at home, and about the status of their health.  The answers reveal some interesting patterns:

  • Age of first exposure: those workers who developed mesothelioma tended to be younger at their first exposure to asbestos. In the 1940’s, they were the young men and women who volunteered out of high school, at age 17 or 18 to join the military, or work in defense industries. Cells in younger people tend to be more vulnerable to carcinogenic (cancer-causing) agents.  Even a few years’ delay, time spent in college or in work that did not involve exposure to asbestos, seems to have had a protective effect.
  • Military service: Mesothelioma patients were more likely to have served in the military.  Service in the military increased the odds of exposure to asbestos.
  • Other cancer diagnoses: Mesothelioma patients were three times more likely than other workers exposed to asbestos to have had another cancer diagnosis at the time of diagnosis of their mesothelioma.  This suggests a greater vulnerability, probably genetically mediated, to carcinogenic agents.
  • Cancer in first-order relatives: People diagnosed with mesothelioma were also three times more likely than other workers exposed to asbestos to have a first-order relative (a parent, a brother or a sister, or a child) who had a cancer diagnosis.  Children of people with a mesothelioma diagnosis were seven times more likely to have a cancer diagnosis.

The conclusion, based on Dr. Ohar’s study, is that getting mesothelioma cancer caused by exposure to asbestos could possibly be attributed to a genetic predisposition and susceptibility to cancer-causing agents.  Genetic susceptibility alone does not determine a diagnosis of mesothelioma cancer; and exposure to asbestos does not always assure that a person will get mesothelioma cancer.  However, the combination of asbestos exposure, especially at a young age, with genetic predisposition and susceptibility increases the likelihood of a person developing mesothelioma cancer.

If you or a loved one has been exposed to asbestos fibers, especially in the workplace, and has received a diagnosis of mesothelioma, you need to consult with an experienced asbestos mesothelioma lawyer to determine whether you may have an actionable case against the employer.

Related Mesothelioma Articles

Mesothelioma Prognosis Stage One

Mesothelioma is a kind of cancer caused due to excessive exposure to asbestos. Its prognosis is dependent on the stage of the disease and the age of the patient. Apart from this, there is also the factor of health condition of the patient and the kind of mesothelioma.

Mesothelioma Prognosis

The prognosis and the life expectancy of the patient are dependent mainly on the stage of mesothelioma when it is diagnosed.  But with mesothelioma, unlike some other cancers, it is difficult to determine the developmental stage when the cancer is diagnosed. This is because the disease is quite rare and the initial symptoms are not easily diagnosable. As this deadly disease is diagnosed only at the advanced stage, the survival rate is not very high. The history of mesothelioma statistics indicate that 10% of the cases diagnosed for about 3 years and about 5% will live for about 5 years.  Still, if the disease is diagnosed early such as stage one and is treated effectively, then 50% will survive 2 years and 20% people will survive 5 years.

Mesothelioma Stage One

The Four Stages of Mesothelioma Cancer
Four Stages of Mesothelioma Cancer

Stage one mesothelioma indicates that the cancer is localized and has not spread to other parts of the body. It is found only in one area of the body like in the case of pleural mesothelioma, it is only in one part of the lung. There are different methods to identify the stage of mesothelioma for its prognosis:

Mesothelioma Stage One – Butchart Staging System

This method is considered to be oldest system to discover the degree of development for pleural mesothelioma. The staging is done based on the size of the primary tumor. In Stage One, only one of the sides of the lung has cancer which indicates that one part of the pleural membrane is affected by cancer. It could be also one side of the diaphragm and one lung.

Mesothelioma Stage One – The TNM Staging System

This is a recent kind of staging system which stage the cancer depending on the size of a tumor, presence of cancer in the lymph nodes and its spreading to other parts of the body.  When using the TNM method, stage one mesothelioma is found in the left or right pleura and has spread to either the lung, the pericardium or the diaphragm on the same side of the chest. In TNM stage one mesothelioma, the cancer is not found in lymph nodes and has not metastasized to other body parts.

When the Brigham System is used to stage malignant mesothelioma, the doctors generally focus and grade the stage of the cancer based on the successful removal of the primary tumor with surgery. So, with this approach and method the stage one mesothelioma patient has a better prognosis, because the other stages may not follow this stage indicating that the cancer has not spread to other parts of the body and has been restricted to only one part of the body. This method also provides for better treatment options.

However, it is quite difficult to diagnose this disease at stage one use both methods because the symptoms of mesothelioma are not clearly identifiable like they are in Stages Two, Three or Four.  In Stage One, the patient can be treated by undergoing a surgery to remove the primary tumor and the nearing tissue followed by radiation therapy or chemotherapy to kill any remaining cancer cells.

Please consider using our offer to ask oncologist and research leader, Dr. Parkash Gill, for a specific response to your mesothelioma question for FREE: Click Here to Ask Dr. Gill

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