Category Archives: Meso Cancer

Second Round of Chemotherapy May Not Help

According to a study by Turkish researchers, a second round of chemotherapy may not do much good for mesothelioma patients whose cancer returns after first-line treatment.

Chemotherapy CRS-207 mesothelioma vaccinationTheir findings are based on an analysis of 51 pleural mesothelioma patients from a Turkish hospital. All patients in the study were initially treated with chemotherapy, the standard first-line treatment for mesothelioma. But, when their mesothelioma tumors began to grow again several months later, some patients were treated with second-line chemotherapy (SLCT) while others had best supportive care (BSC), which includes symptom management only.

Chemotherapy Standard Is Tough

While chemotherapy is a standard first-line treatment for mesothelioma, an aggressive cancer of the mesothelial membranes, there is disagreement within the medical community as to whether or not second-line chemotherapy is effective. While it can sometimes slow the progression of mesothelioma, chemotherapy is also hard on the body and causes a range of dangerous side effects. For this reason, only the healthiest patients are even considered candidates for second-line chemotherapy.

Chemotherapy Survival Rates

In the Turkish study, patients who had chemotherapy as both a first- and second-line treatment had a median overall survival of 20.3 months. These patients had a median survival of 5.9 months after the end of their first-line chemotherapy. Patients who had only BSC when their mesothelioma began to grow again had a median overall survival of 14.7 months. The median overall survival for these patients from the end of their first-line chemotherapy treatment was 4.7 months.

While the figures seem to show that the second-line chemotherapy patients had better outcomes than those receiving BSC, the authors of the study say the differences between the two are not statistically significant. In addition, the fact that second-line chemotherapy is usually reserved for select patients may also contribute to the apparent skew of the results. They conclude, Our results do not support the proposal that second-line chemotherapy could be effective in patients with malignant pleural mesothelioma.”

While such studies can help guide mesothelioma treatment planning, treatment decisions are made on a case-by-case basis, based on a range of criteria. The original study appears in the Asian Pacific Journal for Cancer Prevention. (Mutlu, H, et al,
Secondline chemotherapy versus best supportive care in patients with malignant pleural mesothelioma: a retrospective study
2013
Asian Pacific Journal of Cancer Prevention
pp. 3887-3889
http://www.apocpcontrol.org/page/apjcp_issues_view.php?no=4654&gubun=p&s_search=mesothelioma&s_paper_vol=14&s_number33=6

Useful Mesothelioma Information To Know

Mesothelioma is a rare form tumor cancer.  It refers to the cancerous tumor which primarily involves the mesothelial cells of the human organs, usually abdominal organs or lungs. Since most mesothelioma cancer cases are unsuccessful, it is just important to know some mesothelioma information to make sure you are not afflicted with this threatening disease.

Pleural mesothelioma is the common type of mesothelioma disease . This mesothelioma cancer strikes the pleura which is the membrane between the lungs and the chest cavity.  A lubricated surface to prevent the lungs from chaffing against the chest walls is provided by the membrane.  So, a pleural mesothelioma attack is also known as lung cancer.

Another form of mesothelioma cancer that frequently occurs is called  peritoneal mesothelioma. This cancer afflicts the peritoneum membrane which  encloses the abdomen organs.  Although peritoneal mesothelioma does not  occur as commonly as Pleural mesothelioma, it does tends to be more threatening and invasive.  Therefore, this may result in a shorter life period for the patient.

Mesothelioma Information – Brief History

Where does mesothelioma come from?  This is the most common question asked by persons diagnosed with mesothelioma.  The most common short  answer: exposure to airborne asbestos particles.  When a person is diagnosed this disease,  the cancer’s onset is usually found to be related to a history of asbestos exposure. Asbestos is a mineral, mined and used for many decades as a main thermal insulation material.  Since the 1920’s, it has been widely known that asbestos is a carcinogen, which can cause cancer. Still, asbestos continued to be used in many products until the early part of 1970, and consequently is found currently in many buildings today.60,000 die of asbestos mesothelioma

A unique feature of various asbestos caused diseases is that they have a long latency period.  In other words, from the day of exposure to asbestos fibers and breathing the asbestos dust and the noticeable onset of the cancerous disease can take many years.  A common latency period for mesothelioma cancer can be 20 to 50 years, and sometimes more time.  Therefore, a person can be exposed to asbestos many years ago and only now begin to show the development and signs of mesothelioma.

Clinical Signs and Symptoms of Mesothelioma

With mesothelioma, the signs and symptoms for this cancer can be very general, and unfortunately doctors have misdiagnosed and often neglected and ignored the signs.  In many cases, the signs and symptoms for this cancer type arise between 2 and 3 months before the cancer is fully diagnosed.

Making decisions about what to do with mesothelioma cancer is greatly dependent upon which stage the tumor is at upon discovery.  When you have an early diagnosis of mesothelioma than surgical intervention can sometimes prolong life expectancy.  Depending on the patient’s physical condition and age, the option for surgery may not be possible.  In addition to the option for surgery, then chemotherapy and radiation treatment may be useful in the treatment of mesothelioma.  Finally, home care and pain reduction options are common alternatives and considerations during the later stages of mesothelioma cancer before death.

Where To Go After A Diagnosis with Mesothelioma?

When a person has been diagnosed with mesothelioma, it becomes most important to understand and know the medical treatment options available for the patient.  Always contact and ask questions with an oncologist, or at least your personal doctor so they can provide you with information about mesothelioma as well as some treatment options to choose from.

If you need to speak with an oncologist, Dr. Gill with the Mesothelioma Research Foundation of America welcomes your questions and will gladly provide answers for free.  Simply click on this link and use this contact form to send the doctor your concern.

Mesothelioma Cancer – The Latest News

Mesothelioma kills life-long criminal and infamous author

James Fogle stole his first car at the young age of 12 and set a course for the remainder of his life that would consist of an endless string of crimes.  James, who contracted mesothelioma, spent most of his life living in a prison, and eventually died living behind bars at the age of 75 in August, 2012 probably from the malignant mesothelioma he got while working as a pipe fitter.

Fogle described himself as a restless child born in a small town in Wisconsin and lived with an abusive father.  Early in his youth, he decided that stealing cars would be a form of escapism.  Consequently, James would spend much of his life as a youth in juvenile correctional facilities.  According to his autobiographies, it was in these facilities where he learned methods from other criminal detainees on how to pull off various crimes.  As he sustained his life path of criminal behavior, after serving time in jail as an adult and learning from fellow inmates, upon his release he began robbing drugstores.  James Fogle, all his life, was in and out of prison and seldom experienced freedom for more than a year between sentence terms.James Fogle dies of mesothelioma while living in prison

During one of his prison terms, he was trained to be a steam pipe fitter.  It is suspected that during this era of his life he was exposed to asbestos, which later led to his development of mesothelioma.  When one is  exposed to asbestos fibers, some of the fibers floating in the are you breath can become trapped in the lungs when inhaled, and this can cause the deadly diseases known as mesothelioma.  Mesothelioma lung cancer is caused by exposure to floating asbestos particles.  However, with mesothelioma there is usually a latency period of 20 to 50 years from the time of exposure before the development of symptoms can be recognized.

Mesothelioma diagnosis typically begins with a sufferer’s visit to the doctor complaining of chronic chest pain. This pain is caused as a result of a buildup of fluid inside the pleural space; this is called pleural effusion and is the most common presenting symptom of malignant mesothelioma.

Preliminary mesothelioma detection can be achieved through a chest imagery scan (CT scan, x-ray); however, mesothelioma is often misdiagnosed as viral pneumonia at this stage because of certain symptomatic similarities between the two. The only way to definitively verify a suspected case of malignant mesothelioma is through a biopsy.

Because of his mesothelioma cancer condition and toward the end of his life, James was required to use an oxygen tank to breathe.

Mesothelioma kills book writer

While James  only had a sixth-grade education, he became inspired by books he read during his prison time.  From his reading he developed his own writing style, and wrote 11 autobiographical novels while doing his time.   “Drugstore Cowboy,” is the story about drug addicts who teamed up to support their drug addictions by working together to  rob  pharmacies.  This was the only book he wrote that got published.  This novel was used to create a highly-regarded and  successful film by director Gus Van Sant.  The film was made in 1989 with Matt Dillon playing the lead role.  William Burroughs, one of the major faces of the Beat Generation, had a minor role in the movie, and lauded Fogle’s novel.

At the Monroe Correctional Complex in Monroe, Washington, James Fogle was serving out his 16-year sentence for  crimes committed when he died of mesothelioma cancer.

References:

http://www.nytimes.com/2012/08/30/us/james-fogle-author-of-drugstore-cowboy-dies-at-75.html

http://articles.latimes.com/2012/aug/26/local/la-me-james-fogle-20120826

http://seattletimes.com/html/obituaries/2018979541_cowboy24m.html

How Mesothelioma Might Impact Long Term Health

Mesothelioma Diagnosis

While it might seem that a diagnosis is the most important part of mesothelioma and handling your health, this is far from the case. The diagnosis is merely the starting point from which you need to begin treatment. And though your health might be something you consider to be priceless, it is also something which can be very expensive when it comes to managing mesothelioma. This is why those with mesothelioma seek legal restitution for their injuries. Though your initial diagnosis can be traumatic, the bills which come from your long term care can be catastrophic without the financial help you deserve from an employer.

Mesothelioma is a Cancer

malignant mesothelioma xrayAs one of the rarest forms of cancer, mesothelioma is a condition which impacts not only the lungs, but the entire body as well. A cancer is a condition in which cells are damaged at the DNA level and then when they replicate, the cells are then damaged, causing pain, illness, and tumors. If the cells can be destroyed via radiation, chemotherapy, or other treatments, the cancer can be cured. But as mesothelioma tends to spread in the body before it is detected, it can be difficult to cure this cancer without using a combination of treatments, all of which may not completely remove the cancer from the body.

Radiation and Chemotherapy for Mesothelioma

In order to stop the spread of mesothelioma in the body, most doctors will prescribe radiation and chemotherapy treatments. While these can be wildly successful, they can also be very difficult to manage in some patients. As every patient is different and every cancer is different, you may find that your mesothelioma doesn’t respond to one treatment, but does respond to another – and of course that is the treatment which is not covered by your insurance policy. Each radiation and chemotherapy treatment can cost thousands of dollars and they need to be given regularly in order to provide the results you and your mesothelioma need.

Surgery and Combination Treatments

Sometimes, the only thing which can be done to help mesothelioma is to remove the tumors which are spreading in the body. This is painful, extensive, and possibly even debilitating if there are enough tumors which need to be removed. With the proper financial compensation for mesothelioma, you will be able to not only pay for the surgeries and their related costs, but you will also be able to pay for the pre- and post- care needs. You will be able to also have follow-up surgeries if the mesothelioma proves to be difficult to manage.

More Mesothelioma Articles

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

 

REVIEW: WHAT IS MESOTHELIOMA?

MESOTHELIOMA: What is it?

Mesothelioma is a rare kind of malignant cancer that arises from the cells, lining the sacs of the chest (the pleura) or the abdomen (the peritoneum). Pleural mesothelioma is the most common type usually creating symptoms within the chest space. Peritoneal mesothelioma is not common which affects the organs within the abdomen with symptoms that are associated with this body space including abdominal swelling, nausea, vomiting, and bowel obstruction. The rarest form of mesothelioma cancer is pericardial mesothelioma which involves the sac surrounding the guts.  Based on the shape of the mesothelioma cells, the specific type of mesothelioma can be diagnosed.  There are three kinds of mesothelioma cells:  epithelioid, sarcomatoid and biphasic.mesothelioma-symptoms

MESOTHELIOMA: What Are The Causes?

Exposure to asbestos particles is the primary cause for mesothelioma cancer.  A person can get exposed by inhaling or ingesting asbestos fibers, which usually become airborne when asbestos-containing materials are disturbed as in broken for removal.  When microscopic fibers are inhaled, they’ll become lodged within the lining of the lungs and these stuck fibers fester for 15-40 years until they become recognized as pleural mesothelioma.  When asbestos is ingested, the fibers will become lodged within the lining of the abdomen and eventually cause  peritoneal mesothelioma.

MESOTHELIOMA: What Are The Symptoms?

The symptoms for mesothelioma cancer vary depending on the type and the cancer’s location.   Because the various forms of the cancer are similarity, several symptoms are common and overlapping. Many patients with mesothelioma will experience shortness of breath and general fatigue.  Additionally, acute pain can occur within the chest for patients with pleural and pericardial mesothelioma, and within the abdominal region for patients with peritoneal mesothelioma.

MESOTHELIOMA: What Are The Treatments?

There are several kinds of treatment for patients with malignant mesothelioma, and sometimes they are used in combinations of two or a lot of of those are combined within the course of treatment.

  • Surgery: a pleurectomy is the surgical removal of part of the chest or abdomen lining and some of the tissues around it.  Sometimes when the mesothelioma cancer has consumed too much tissue, a lung may also be removed in an operation known as a pneumonectomy.
  • Radiation Therapy: using high-dose X-rays or alternative high-energy rays to kill cancer cells and shrink tumors. Two types of radiation therapy include: external radiation where a machine outside the body is used, and internal radiation using radioisotopes where putting materials that turn out radiation through skinny tubes inserted into the body space where the cancer cells are located.
  • Chemotherapy:  using chemotherapeutic agents as medication to fight the cancer.  These drugs are administered in one of two ways; 1)systemically through the bloodstream or 2)intrapleurally in the pleural cavity.  When it’s administered intrapleurally, the treatment is localized at the location of the tumor. Some of these medication are very toxic, so you must discuss their use thoroughly with your doctor.
  • Clinical Trials of new treatments, some non-chemotherapy.

To learn more about mesothelioma cure research and discuss clinical trial options with Dr. Gill.

Related Mesothelioma Articles

The Truth about Mesothelioma Symptoms

Mesothelioma symptoms can vary from patient to patient.

mesothelioma symptomsOne can make a valiant effort to possibly live through this dreaded disease by trying to understand its symptoms and how to detect it as early as possible.

What exactly is mesothelioma?

This is a type of cancer that affects the lining of various internal organs; including the lungs, heart, and abdominal cavity. This type of cancer is sometimes caused by exposure to a type of insulating material called asbestos.

Mesothelioma symptoms may not start for years, or even decades, after one is exposed to this toxic material.

How can a person tell if they have mesothelioma symptoms?

Only a doctor can diagnose mesothelioma. Mesothelioma symptoms are varied and they can often be confused with symptoms of many other illnesses. Mesothelioma symptoms may include shortness of breath, a mass in the abdominal region, fever, night sweats, a general feeling of illness, and many other symptoms that should be discussed with a medical professional. Often mesothelioma attorneys educate their clients that some of the symptoms they may have believed to be something else are actually attributable to this illness.

Why is it so hard to diagnose mesothelioma symptomss?

Mesothelioma symptoms can be extremely inconsistent, which can lead to a host of incorrect diagnoses and misunderstandings.

Far too often a person will have no mesothelioma symptoms for years after exposure, which is due to the fact that mesothelioma grows slowly within a person’s body. This can lead to potential treatment time not being utilized.

What can be done about mesothelioma?

Medical professionals are constantly working on newer and better ways to treat every kind of illness, but thus far there have been few breakthroughs. Some of the most promising discoveries are found in the research and clinical studies by Dr. Gill.  In recent years, a lot of non-medical work has been done with regard to this illness like mesothelioma attorneys mounting cases against the asbestos manufacturing industry, which hid vital information about the potential dangers of asbestos exposure. Tens of millions of individuals may have been exposed, which could potentially lead to large numbers of mesothelioma cases.

Where can I find more information about mesothelioma symptoms?

Additional mesothelioma symptoms information is available here and at www.mesorfa.org our central research center web site.

Related Mesothelioma Articles

Mesothelioma Treatment Stages

Mesothelioma is the term used for a cancerous tumor, which involves the mesothelioma cells of lungs, heart or abdominal organs. Mesothelioma medical experts provide treatment to a patient after assessing the developmental stage of the cancer in patient’s particular case.  The location of the cancer, the level to which it is spread and the age and general health condition of the patient are analyzed by the medical specialist.

Four Stages of Malignant Mesothelioma

Malignant mesothelioma is a disease in which the malignant cells are found in the sac that lines the chest or abdomen. There are four stages of malignant mesothelioma.
mesothelioma

Stage One – Localized Mesothelioma

The first stage is localized mesothelioma and the remaining three are considered advanced stages of mesothelioma. Localized mesothelioma is the phase wherein the cancer is discovered in the lung, diaphragm or in the lining of the chest cavity. The patients in their first stage of mesothelioma get their cancer surgically removed by pleurectomy or decortication or extrapleural pneumonectomy.

Stage Two

In the second stage, the cancer is detected to have spread beyond the lining of the chest cavity.

Stage Three

In the third stage, the tumor growth spreads into several areas that include chest wall, center of the chest, heart, and throughout the diaphragm. The treatment in the second, third and fourth stages of mesothelium are done in tandem with supportive care. The treatment for these advanced stages focuses on providing a patient with relief from symptoms, as total cure is generally not achieved. The treatment methodology includes thoracentesis that removes fluid accumulation in the chest cavity, operations to remove the tumor and radiation therapy or chemotherapy aimed at easing symptoms.

Stage Four

In the fourth stage, the cancer is in the process of distant metastasis, which implies that it has spread to other organs and tissues far from its site of origin in the pleural, peritoneal, or pericardial mesothelium. Patients suffering from the fourth stage should enroll themselves in clinical trials that evaluate the newest treatment possibilities in large medical centers. Pain management is an essential aspect of the care of such patients. It is important for patients to know that medications are available to effectively treat pain due to mesothelioma. They should request pain medications or discuss pain control problems with their cancer care team.

Discover more about treatment options, and in particular clinical trials for mesothelioma at the web site for Mesothelioma Research Foundation of America.

MesoRFA.org provides detailed information on Mesothelioma Treatment, Mesothelioma Treatment Options, Alternative Mesothelioma Treatment, New Mesothelioma Treatment and more.

Three Studies in Pleural Mesothelioma Cancer – August 2012

Mesothelioma Cancer Research and Clinical Studies

visceral pleura parietal pleura

Mesothelioma Cancer Research Study #1:

 “Solitary (localized) pleural mesothelioma: A light- and electron-microscopic study”

in American Journal of Surgical Pathology

 Abstract – Six solitary (localized) pleural mesotheliomas were studied by light and electron microscopy. All the lesions were benign and were composed mainly of fibrous tissue of variable cellularity with or without cystic spaces lined by round cells. The lining cells of the cysts and the adjoining round plump cells were interpreted as true neoplastic cells of the fibroblast type. Results of light- and electron-microscopic study of human mesothelial cells and fetal mesothelial cells of rats were compared. The cytoplasmic organelles of the tumor cells were generally scanty, though rough endoplasmic reticulum, sparse mitochondria, intracellular bundles of fibrils, and numerous polysomes were seen.

Some tumor cells had junctional apparatus and basement membranes and showed inter-digitation of the plasma membrane. These cells lined the cystic spaces irregularly and also proliferated into the surrounding fibrous tissue, where they assumed a spindle shape and resembled fibroblasts. Ultra structurally, the tumor cells were similar to mesothelial and stromal cells of fetal rat pleura. We speculated that the solitary (localized) mesotheliomas were probably derived from coelomic epithelium and that tumor cells remained un-differentiated or revealed minimal differentiation toward mesothelial cells.

Mesothelioma Cancer Research Study #2

“Reactivity of six antibodies in effusions of mesothelioma, adenocarcinoma and mesotheliosis: stepwise logistic regression analysis”

in Cytopathology Volume 11, Issue 1, Feb 2000

Abstract – Anti-CEA, anti-vimentin, CAM5.2, BerEp4, Leu-M1 and anti-EMA were applied to effusions from 36 mesotheliomas, 53 adenocarcinomas and 24 reactive mesothelial proliferations.

Stepwise logistic regression analysis selected three criteria of major importance for distinguishing between adenocarcinoma and mesothelioma: BerEp4, CEA and EMA accentuated at the cell membrane (mEMA), these three being of similar diagnostic value. The pattern BerEp4−, CEA− and mEMA+ was fully predictive for mesothelioma (sensitivity 47%), whereas the opposite pattern was fully predictive for adenocarcinoma (sensitivity 80%). Only EMA seemed to distinguish between mesotheliosis and mesothelioma. Comparison of reactivity in cytological and histological material from the same mesotheliomas showed similar staining frequencies for CEA and CAM5.2, with some random variation for Leu-M1 and EMA, whereas vimentin and BerEp4 reactivity was more frequent in cytological specimens.

Mesothelioma Cancer Research Study #3

“A pilot study of systemic corticosteroid administration in conjunction with intrapleural adenoviral vector administration in patients with malignant pleural mesothelioma”

– Sterman DH, Molnar-Kimber K, Iyengar T, Chang M, Lanuti M, Amin KM, Pierce BK, Kang E, Treat J, Recio A, Litzky L, Wilson JM, Kaiser LR, Albelda SM. – Cancer Gene Ther. 2000 Dec;7(12):1511-8. 

Abstract – One of the primary limitations of adenoviral (Ad) -mediated gene therapy is the generation of anti-Ad inflammatory responses that can induce clinical toxicity and impair gene transfer efficacy. The effects of immunosuppression on these inflammatory responses, transgene expression, and toxicity have not yet been systematically examined in humans undergoing Ad-based gene therapy trials. We therefore conducted a pilot study investigating the use of systemic corticosteroids to mitigate antivector immune responses. In a previous phase I clinical trial, we demonstrated that Ad-mediated intrapleural delivery of the herpes simplex virus thymidine kinase gene (HSVtk) to patients with mesothelioma resulted in significant, but relatively superficial, HSVtk gene transfer and marked anti-Ad humoral and cellular immune responses. When a similar group of patients was treated with Ad.HSVtk and a brief course of corticosteroids, decreased clinical inflammatory responses were seen, but there was no demonstrable inhibition of anti -Ad antibody production or Ad-induced peripheral blood mononuclear cell activation. Corticosteroid administration also had no apparent effect on the presence of intratumoral gene transfer. Although limited by the small numbers of patients studied, our data suggest that systemic administration of steroids in the context of Ad-based gene delivery may limit acute clinical toxicity, but may not inhibit cellular and humoral responses to Ad vectors.

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.