What is mesothelioma?
Mesothelioma is cancer of the mesothelium. Like most cancers,
mesothelioma involves the abnormal dividing of cells of a
particular part of the body -- in this case, the mesothelium.
Mesothelioma is so deadly because it remains dormant for many
years and then begins to rapidly expand. The cancer then begins
to invade and damage nearby tissue, including the vital organs.
What is the mesothelium?
Many of the internal organs of the body are protected by a
membrane called the mesothelium. This membrane actually consists
of two layers of cells. The inner layer surrounds the organs,
and the second is a sac surrounding the inner layer. When organs
within this membrane must move, expand or contract -- such as
the heart, lungs, bladder, and so on, they are able to do so
because the mesothelium produces a lubricating fluid between the
two layers.
Mesothelioma most often begins in the pleura or peritoneum. The
pleura surrounds the lungs and covers the chest cavity. The
peritoneum covers most of the organs in the abdominal cavity.
Other mesothelium tissue is also vulnerable to mesothelioma.
These include the pericardium that surrounds and protects the
heart; the tunica vaginalis testic which surrounds the internal
male reproductive organs; and the tunica serosa uteri which is
the membrane covering the internal reproductive organs in women.
Who is at greatest risk to develop mesothelioma?
Mesothelioma has a very specific cause - exposure to asbestos.
During the first half of the previous century, right up until
the mid 1970s asbestos was an important material used to
insulate buildings, machines, heavy equipment, and a broad range
of commercial applications. Because it was plentiful and
inexpensive to mine, asbestos was used in many building products
such as home insulation, floor, ceiling and roof tiles. It was
also used in commonly found commercial products such as brake
linings and pipe insulation.
This meant that millions of people were coming in contact with
asbestos on a daily basis. And since the effects of exposure to
asbestos fibre often do not become apparent for 30 or 40 years
after prolonged exposure, companies and health officials were
slow to recognize the dangers of asbestos. As a result, shipyard
workers, men and women working in asbestos mines and mills,
workers producing asbestos products, workers in the heating and
construction industries, and virtually all other tradespeople
were exposed to asbestos fibres for extended periods of time.
Today it is understood that anyone working with or near asbestos
has an increased risk of developing mesothelioma, so there are
strictly controlled limits of exposure in the work place. But
since the dormancy period of mesothelioma can often be 30 or 40
years, there are millions of workers who are at risk because of
their exposure in the decades before the safety controls were
put in place.
What are the symptoms of mesothelioma?
Pleural mesothelioma - cancer of the pleura or lung lining -
causes shortness of breath or chronic coughing. Other symptoms
of pleural mesothelioma may include chest pain, chronic
coughing, shortness of breath, fatigue, wheezing, hoarseness,
weight loss, or blood in the phlegm from the lungs when
coughing.
Peritoneal mesothelioma affects the lining around the stomach
and intestines and is usually just as dangerous. Symptoms of
peritoneal mesothelioma include pain or swelling in the abdomen,
weight loss, bowel obstruction, anemia, and fever.
Many of the symptoms of mesothelioma can easily be mistaken for
allergies or a common cold. Mesothelioma is often discovered
when patients think they have one of these other common
illnesses.
How Serious is Mesothelioma?
By the time most infected people become aware they have
mesothelioma, it is no longer dormant and becomes extremely
aggressive. In its active phase, mesothelioma can travel
quickly, and is almost impossible to stop. There are treatments
used to keep the patient comfortable, but there is currently no
cure for mesothelioma. As many as 75% of those who develop the
disease will lose their life within one year. The remainder may
last for up to an additional six months.
This makes it extremely important to detect the disease before
it enters its active phase.
How is mesothelioma diagnosed?
Mesothelioma is often not diagnosed until it reaches an advanced
stage. This is because of its long dormancy period, and because
once it becomes active the initial symptoms are similar to much
more comman and less dangerous sicknesses such as colds or the
flu. If a patient has a history of exposure to asbestos, then a
complete physical examination is advised. This would normally
include x-rays of the chest or abdomen and lung function tests.
It might also include a CT (or CAT) scan or an MRI. Both of
these tests give detailed pictures of areas inside the body.
If these tests indicate the probability of mesothelioma, then it
is necessary to perform a biopsy to confirm the diagnosis. Doing
a biopsy involves an oncology specialist taking a small sample
of affected tissue and examining it under a microscope for signs
of malignancy. Depending on the location of the affected tissue,
doing a biopsy can be a relatively traightforward procedure. It
normally involves the insertion of a small instrument into the
suspect cavity. These surgical devices have both viewing and
sample taking capabilities. So the oncologist or surgeon can
look at the cavity from the inside, and then take tissue samples
from different areas.
If mesothelioma is discovered, the initial tests are followed up
with what is called "staging". This involves more tests to
determine how far the disease has spread.
How is mesothelioma treated?
Standard treatments include the normal options available to
cancer patients: surgery, radiation therapy, and chemotherapy.
Sometimes, these treatments are combined. If the mesothelioma is
discovered at an early enough stage these treatments can
sometimes be effective.
Among the treatments that are used in order to reduce the
effects of the disease are oxygen, postural drainage and pain
killers. Many alternative treatment methods are also being
tested, including attempts to strengthen the body's immune
system. Gene therapy is also being tested in an attempt to
attack the problem at the DNA level. Other treatments being
tried and tested include homeopathy, herbs and acupuncture.
Unfortunately none of these have been found to be very effective
once the disease reaches its aggressive stage.
As with all cancers, early detection is the best defense against
mesothelioma. Anyone who has been exposed to asbestos should be
alert for symptoms and contact a doctor immediately. Detecting
mesothelioma at the earliest stage possible greatly increases
the chances of beating the disease.
About the author:
For more information about Mesothelioma visit
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reports about mesothelioma see
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Hendershot is a writer and online publisher. For publishing and
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