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A Mesothelioma
Mesothelioma
Mesothelioma is one of the rare and aggressive cancers. This
is caused by asbestos and forms on protective tissues that cover the lungs,
stomach or heart. The symptoms include coughing, chest pain and shortness of
breath. Treatments combining surgery, radiation and chemotherapy improve
survival and life expectancy.
Cause
The cause of Mesothelioma is a rare cancer caused by
asbestos exposure.
Cancer develops when a person swallows asbestos, and also
causes changes in a person's DNA.
Our genes, which are made of DNA, control how cells grow,
multiply & die. Changes in our genes can cause cells to divide out of
control and can cause cancer.
Development of Mesothelioma
- Someone inhales or also swallows airborne asbestos fibers.
- Asbestos fibers become lodged in the lining of the lungs,
stomach or heart.
- Embedded fibers damage mesothelial cells and often cause
inflammation.
- Over time, tumors begin to form in damaged mesothelium,
which is the lining of the stomach, lungs, heart and testes.
- Tumors can also be benign (not cancer). But when the tumor
is cancerous, doctors call the disease mesothelioma malignant. Often
abbreviated to mesothelioma.
Symptoms
Common
symptoms of mesothelioma include:
- Dry cough
- Hard to breathe
-
Complications of breathing
- Pain in
the chest or abdomen
- Fever or
night sweats
- Pleural
effusion (fluid around the lungs)
- fatigue
- Muscle
weakness
Symptoms of
mesothelioma usually do not appear until the tumor grows and spreads.
Mesothelioma latency is at 20-50 years. That's how long it takes from the
initial exposure to an accurate diagnosis. For that reason, many people with
mesothelioma are in their 60s or 70s.
You should
talk to a mesothelioma specialist immediately if you have a history of asbestos
exposure and also experience these symptoms. Early diagnosis can improve your
prognosis and life expectancy.
Type of
Mesothelioma
Oncologists
call each type of mesothelioma based on the location in the body where it
develops.
This type
of pleural & peritoneal mesothelioma is the most common. Pericardial
accounts for 1 percent of cases. Another rare type is testicular mesothelioma.
This represents less than 1 percent of all mesothelioma.
Prognosis,
symptoms and treatment options vary by type.
- Pleural
mesothelioma
- Pleural
Mesothelioma
- The most
common type
- Forms on
the soft tissue that covers the lungs
- It is
best treated with a multimodal approach
Who is the
Most at Risk for Mesothelioma?
Veteran
The use of
asbestos in the military was widespread from 1940 to 1980. Veterans from all
branches of the US armed forces were at risk of being exposed. Navy veterans
are most at risk. This branch uses the largest quantity of asbestos products.
Work
Exposure
Approximately
75 jobs have exposed workers to asbestos. Automatic mechanics, textile workers,
steel factory workers, construction workers, and firefighters are among the
most risky.
Secondary
Exposure
Asbestos
workers unknowingly carry asbestos fibers to their bodies or clothing. This
results in secondary asbestos exposure among residents such as women and
children.
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Overview
Malignant
mesothelioma (me-zoe-thee-lee-O-muh) is one type of cancer that occurs in a
thin layer of tissue that covers most of your internal organs (mesothelium).
Mesothelioma
is an aggressive and very deadly form of cancer. Mesothelioma treatment is
available, but for many people with mesothelioma, medicine is not possible.
Doctors
divide mesothelioma into various types based on the part of the mesothelium
that is affected. Mesothelioma most often affects the tissue that surrounds the
lungs (pleura). This type is called pleural mesothelioma. Other types of
mesothelioma that more rarely affect the tissue in the stomach (mesothelioma
peritoneum), around the heart or around the testicles.
Mesothelioma
does not include the form of non-cancerous (benign) tumors that occur in the
chest and sometimes called benign mesothelioma or solitary fibrous tumors.
Symptoms
Signs or
symptoms of mesothelioma vary depending on where the cancer occurs.
Pleural
mesothelioma, which affects the tissue that surrounds the lungs, causes signs
and symptoms that may include:
- Chest
pain under the ribs
- Coughing
is painful
- Hard to breathe
- Unusual
lumps of tissue under the skin on your chest
- Weight
loss for no reason
Peritoneal
mesothelioma, which occurs in the tissue in the stomach, causes signs and
symptoms that may include:
- Stomach ache
- Swelling
of the stomach
- Lumps of
tissue in the stomach
- Weight
loss without reason
Other forms
of mesothelioma
Signs and
symptoms of other types of mesothelioma are also unclear, because these forms
of disease are very rare.
Pericardial
mesothelioma, which affects the tissue surrounding the heart, can cause signs
and symptoms such as difficulty breathing & chest pain.
Mesothelioma
tunica vaginalis, which affects the tissue around the testicles, may be first
detected as a swelling or mass in the testicles.
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When to see
a doctor
See your
doctor if you have signs or symptoms that might indicate mesothelioma. Signs
and symptoms of mesothelioma are not specific to this disease and also because
of the scarcity of mesothelioma, more likely to be related to other conditions.
If there are persistent signs and symptoms that appear unusual or disturbing,
ask your doctor to evaluate them. Tell your doctor if you are exposed to
asbestos.
Cause
In general,
cancer begins when a series of genetic mutations occur within the cell, causing
cells to grow and the possibility of breeding out of control. It is unclear
what causes the initial genetic mutations that lead to mesothelioma, although
researchers have identified factors that can increase risk. It looks like
cancer is formed because of interactions between many factors, such as
inherited conditions, your environment, your health condition and your
lifestyle choices.
Risk factor
Asbestos
Exposure: The main risk factor for mesothelioma
Asbestos is
a mineral found naturally in the environment. Asbestos fibers are strong and
heat resistant, making them useful in a variety of applications, such as
insulation, brakes, shingles, floors and many other products.
When
asbestos breaks, such as during the mining process or also when removing
asbestos, dust can be made. If dust is inhaled or accidentally ingested,
asbestos fibers will settle in the lungs or stomach, where they can cause
irritation that can cause mesothelioma. Exactly how this happens is not
understood. It takes 20 to 40 years or more for mesothelioma to develop after
asbestos exposure.
Most people
with asbestos exposure for years have never experienced mesothelioma. However,
other people with very short exposure develop disease. This shows that other
factors may be involved in determining whether or not someone gets
mesothelioma. For example, you can inherit a tendency to cancer or some other
condition can increase your risk.
Risk factor
Factors
that can increase the risk of mesothelioma include:
- Personal
history of asbestos exposure. If you are directly exposed to asbestos fibers at
work or at home, the risk of your mesothelioma is greatly increased.
- Live with
someone who works with asbestos. People exposed to asbestos can bring fiber
home to their skin and clothing. Exposure to this stray fiber for years can put
other people at home at risk for mesothelioma. People who work with high levels
of asbestos can reduce the risk of taking home - asbestos fibers by bathing and
changing clothes before leaving for work.
- Family
history of mesothelioma. If your parents, siblings or children have
mesothelioma, you may have an increased risk of this disease.
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