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Written by Karen Ritter, RN BSN

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Mesothelioma

Mesothelioma is a rare and aggressive cancer caused by asbestos. It forms when sharp, loose asbestos fibers become lodged in the lining of either the lungs or abdomen. These fibers irritate tissue, which becomes diseased. Most patients live for around one year after diagnosis, but treatment can prolong survival.

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Important Facts About Mesothelioma

  • 2,500-3,000 cases each year in the U.S.
  • Two main types: pleural (80%) and peritoneal (20%)
  • Men = 77% of cases
  • Caucasians = 93%
  • Ages 55-84 = 80%
  • At-risk occupations = Military veterans, shipbuilding, construction, electrical work, automobile repair, mining and plumbing
asbestos fibers injested in the body with mesothelioma tumors forming in the lining around the lungs
asbestos fibers injested in the body with mesothelioma tumors forming in the lining around the lungs
asbestos fibers injested in the body with mesothelioma tumors forming in the lining around the lungs
asbestos fibers injested in the body with mesothelioma tumors forming in the lining around the lungs

Asbestos Fibers Entering the Body

Symptoms of Mesothelioma

Some mesothelioma symptoms are similar to pneumonia, such as shortness of breath and coughing. People begin experiencing signs of mesothelioma 20-50 years after exposure to asbestos.

OTHER COMMON SYMPTOMS

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Chest or abdominal pain

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Pleural effusions

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Difficulty breathing

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Night sweats

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Weight loss

Who Is at Risk?

Exposure to asbestos is the only proven cause of mesothelioma. American industries adored asbestos because it was cheap and fire-resistant. Companies used the mineral to build homes, offices, ships, airplanes and automobiles.

People exposed through their jobs face the highest risk of mesothelioma:

  • Construction and insulation workers
  • Military veterans
  • Electricians
  • Pipefitters and plumbers
  • Automobile mechanics
  • Firefighters
  • Shipbuilders and shipyard workers

Others at risk include:

  • Loved ones of a high-risk worker (secondary exposure)
  • Regular users of talc products (talc exposure)
  • Residents near asbestos mines and manufacturing plants (environmental exposure)

Mesothelioma in the Military

Military veterans make up an estimated 33% of mesothelioma cases. The U.S. military used asbestos in ships, aircraft, barracks and on-base housing.

Types of Mesothelioma

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Pleural Mesothelioma

  • Forms in the lining around the lungs
  • Main symptoms: Chest pain, pleural effusions (fluid buildup), coughing, shortness of breath
  • Treatment: Surgery, chemotherapy, radiation, immunotherapy and tumor treating fields
  • Males = 81% of cases
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Peritoneal Mesothelioma

  • Forms in the lining of the abdomen
  • Main symptoms: Abdominal pain, ascites (fluid buildup), weight loss
  • Treatment: Surgery, intravenous chemotherapy and intraoperative chemotherapy
  • Females = 44% of cases
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Pericardial Mesothelioma

  • Forms in the lining around your heart
  • Main symptoms: Shortness of breath, chest pain, irregular heartbeat
  • Treatment: Surgery and chemotherapy
  • 1% of mesothelioma cases

Getting a Medical Diagnosis

A biopsy is the only conclusive way to diagnose mesothelioma. A biopsy is a surgical procedure to remove tissue samples and test them for cancer.

doctor with a patient for examination
doctor with a patient for examination

Unfortunately, this cancer can be mistaken for other diseases and often misdiagnosed. We suggest you visit a cancer center of excellence to go through a series of tests:

  • CT scan
  • PET scan
  • Biopsy
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Mesothelioma Stages and Prognosis

There are four stages of mesothelioma. Each stage has a general prognosis, or life expectancy, based on past studies and data. Most mesothelioma cases are diagnosed in stage 3.

The life expectancies listed below are based on median survival for pleural mesothelioma. These include patients who cannot have surgery, which lowers the median length.

Peritoneal mesothelioma survival rates are usually longer than pleural mesothelioma rates. Many patients live five years or more after surgery.

Stage 1

lung with stage 1 mesothelioma tumor growth
  • Life expectancy: 20 months
  • Cancer is within the lining where it formed
  • Organs and lymph nodes not yet affected
  • Surgery is best treatment option

Stage 2

lung with stage 2 mesothelioma tumor growth
  • Life expectancy: 19 months
  • Tumors have spread beyond the lining
  • Nearby organs and lymph nodes at risk
  • Surgery remains an option

Stage 3

lung with stage 3 mesothelioma tumor growth
  • Life expectancy: 16 months
  • Cancer is no longer localized to the lining
  • Lymph nodes are affected by cancer cells
  • Surgery may involve removing the lung

Stage 4

lung with stage 4 mesothelioma tumor growth
  • Life expectancy: 11 months
  • Cancer has reached distant organs and areas
  • Patients may experience painful symptoms
  • Pain-relief treatment available

Mesothelioma Treatment and Survival

There are four main options for mesothelioma treatment: surgery, chemotherapy, immunotherapy and radiation. Doctors often combine them to improve your survival time. Emerging methods include tumor treating fields, virotherapy and gene therapy.

The U.S. Food and Drug Administration has approved three therapies for unresectable mesothelioma:

  • Chemotherapy drugs pemetrexed and cisplatin
  • Immunotherapy drugs Keytruda, Opdivo and Yervoy
  • A tumor treating fields device called Optune Lua
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Surgery

Surgery

Surgery is the quickest way to remove mesothelioma tumors from your body. There are different surgeries for each type of mesothelioma, and they have different survival rates.

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Chemotherapy

Chemotherapy

Chemotherapy is a cancer-killing drug that looks for fast-growing cells. It’s the most-used treatment for mesothelioma. Chemotherapy on its own can extend survival by 6-8 months.

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Radiation

Radiation

Radiation uses high-energy beams to kill diseased cells. This method is primarily used for pleural mesothelioma. When used before or after surgery, radiation may improve survival.

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Immunotherapy

Immunotherapy

The FDA approved Opdivo and Yervoy together in October 2020 for unresectable pleural mesothelioma. The pair led to an average survival of 18 months since the start of treatment. The FDA also approved Keytruda for a small group of patients.

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Tumor Treating Fields

Tumor Treating Fields

The FDA approved the NovoTTF-100L System in May 2019 for unresectable pleural mesothelioma. It’s a tumor treating fields device, made by Novocure, and was renamed “Optune Lua.” When paired with chemotherapy, it led to 18 months median survival.

Top Doctors and Cancer Centers for Mesothelioma

Before beginning treatment, you should visit one of the top cancer centers of excellence. Speak to a mesothelioma specialist for a second opinion. You may learn about new treatment options.

Some of the top cancer centers for mesothelioma are:

  • Brigham and Women’s Hospital (Boston)
  • National Cancer Institute (Bethesda, Maryland)
  • Baylor St. Luke’s Medical Center (Houston)
  • Mount Sinai Medical Center (New York City)
  • MD Anderson Cancer Center (Houston)
  • Moffitt Cancer Center (Tampa)
  • Memorial Sloan Kettering Cancer Center (New York City)

VA Healthcare System for Mesothelioma

Veterans with mesothelioma have three VA hospitals with dedicated mesothelioma treatment programs. Specialists from prestigious nearby cancer centers work at these VA hospitals as part of the VA healthcare system:

  • Boston VA
  • Los Angeles VA
  • Houston VA

Support Options for Patients

There are support resources available to people affected by mesothelioma. Online and in-person support groups are offered to patients, family members and caregivers.

Other support options include:

  • Patient guidance and help finding specialists
  • Travel grants and discounted lodging
  • Explanation of legal rights
  • Financial compensation
  • VA benefits for veterans and their families

Get in Touch With an Expert

Mesothelioma patient advocates dedicate their professional lives to helping people affected by asbestos diseases. They are the best asset for fighting your cancer. Their resources include:

  • Relationships with top cancer centers and mesothelioma doctors
  • Knowledge of mesothelioma and each treatment option
  • Ability to access travel grants, housing assistance and help filing VA claims

Legal Rights and Assistance

American companies had proof asbestos was dangerous, but they continued pushing the mineral into everyday products. Since asbestos is the only cause of mesothelioma, the companies that used asbestos are legally responsible for the rise of mesothelioma.

The victims of this disease deserve compensation. Fortunately, there are mesothelioma attorneys dedicated to helping people with asbestos diseases.

Types of Mesothelioma Compensation

The victims of this disease can file lawsuits and asbestos trust fund claims to retrieve compensation. Lawsuits can lead to either a verdict or settlement, possibly accounting for more than $1 million.

Asbestos trust fund claims are the more common mesothelioma compensation. When companies filed for bankruptcy to sidestep future lawsuits, the court system required they establish trust funds to compensate future victims.

Common Questions About Mesothelioma

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What causes mesothelioma?

The only proven cause of mesothelioma is asbestos exposure. Loose strands of asbestos float in the air, invisible to the naked eye, and are easily inhaled or ingested. These fibers can travel into your lungs or abdomen and lodge into sensitive mesothelial linings, which causes cells to mutate and tumors to form.

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Is mesothelioma always fatal?

Mesothelioma is an aggressive cancer that can spread quickly to vital organs, such as your lungs, diaphragm, heart or intestines. The average survival time for mesothelioma is 1-2 years, but medical advancements have improved the prognosis for many patients. Starting treatment immediately offers the best chance for beating this cancer.

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Who faces the highest risk of mesothelioma?

Men ages 55 and older account for the majority of all mesothelioma cases. This is due to men working jobs that involved high risks of asbestos exposure. The occupations at greatest risk of developing mesothelioma are construction, electrical work, automobile repair, shipbuilding and military service.

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How many types of mesothelioma are there?

There are three main types of mesothelioma: pleural, peritoneal and pericardial. The last one is very rare, accounting for around 1% of cases. Pleural mesothelioma, which develops in the thin lining covering your lungs, is the most common. Peritoneal mesothelioma, which forms in the lining around your abdomen, accounts for around 20%.

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How can you stop mesothelioma?

The main way to stop the spread of mesothelioma is through multimodal treatment. The top three options are surgery, chemotherapy and radiation. Emerging methods include immunotherapy and tumor treating fields, which either helps the immune system fight mesothelioma or stops cancerous cells from replicating. Aggressive treatment often extends survival by multiple years.

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How do you know if you have mesothelioma?

The primary symptoms of mesothelioma are pain, fluid buildup in the chest or abdomen, fever, weight loss, decreased appetite, fatigue, and difficulty breathing. Unfortunately, these symptoms are also features of the flu, pneumonia and COPD. If you have mesothelioma symptoms, visit a doctor immediately for testing.

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How many people get mesothelioma in the United States?

There are around 3,000 documented cases of mesothelioma in the U.S. each year. This makes mesothelioma one of the rarest known cancers. It is four times more common in men than women, and it predominantly affects elderly Americans at an alarming rate compared to young adults.

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