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All About Mesothelioma 
 
by Mary M. Alward June 27, 2005

Treatment of Mesothelioma

The earlier that mesothelioma is diagnosed, the better it is. Prognosis of the disease is difficult to evaluate, as most doctors, surgeons and specialists have little experience treating the disease. If mesothelioma is in an advanced stage when diagnosed, treatment is usually not effective.

The chance of survival for patients who have been diagnosed with mesothelioma depends on the patient’s age, the appearance of the cancer under a microscope, the location and size of the cancer and how far the cancer has spread. There are only three treatments to force mesothelioma into remission; chemotherapy, radiation and surgery.

Chemotherapy

Chemotherapy is medication that is used to stop types of cancer by the use of strong medication. It is usually given intravenously after surgery to kill cancerous cells that remain in the body. Medications used to treat mesothelioma are Altima, Adriamycin, Gemcitabine, Oconase and Taxol. A combination of more than one of these medications seems to be most effective in the treatment of mesothelioma. At present, new medications are being developed for all types of the disease.

Surgery

Surgery is not a cure for mesothelioma. However, it can control the spread of the cancer, give the patient relief from symptoms and prolong life. Before surgery can be performed, the patient must undergo tests to evaluate heart function and lung performance.

Aggressive Surgery

Aggressive surgery in the form of lung, diaphragm or pericardium removal is common. This surgery is highly specialized and carries a very high risk. Many patients die within a four week period. Many others are so high risk that aggressive surgery is impossible.

Palliative Surgery

Palliative surgery is performed to control symptoms and relieve pain.

Thoracentesis

Thoracentesis is the use of a needle to draw excess fluid from the chest to relieve pain and breathlessness.

Pleurectomy

Pleurectomy is the removal of the pleura to reduce pain and to prevent excess fluid build up.

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