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Malignant Mesothelioma

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Overview

Malignant mesothelioma is a rare and aggressive cancer that primarily affects the mesothelium, a thin layer of tissue covering various internal organs. This article will explore the different aspects of this disease, including its types, causes, symptoms, prevention, complications, diagnosis, treatment, and when to seek medical attention.

Types of Malignant Mesothelioma

Mesothelioma can manifest in different parts of the body. The main types include:

a. Pleural Mesothelioma

  • Location: Affects the tissue surrounding the lungs (pleura).
  • Description: The most common type, often linked to asbestos exposure.
  • Symptoms: Chest pain, painful coughing, shortness of breath, unexplained weight loss, and lumps under the skin on the chest.

b. Peritoneal Mesothelioma

  • Location: Develops in the abdominal lining (peritoneum).
  • Description: Accounts for most remaining cases.
  • Symptoms: Abdominal pain, swelling, nausea, and unexplained weight loss.

c. Pericardial Mesothelioma

  • Location: Rarely affects the heart’s lining (pericardium).
  • Symptoms: Breathing difficulty and chest pains.

d. Testicular Mesothelioma

  • Location: Extremely rare, affecting the tissue surrounding the testicles.
  • Symptoms: Detected as swelling or a mass on a testicle.

Causes of Malignant Mesothelioma

  • Asbestos Exposure: The primary cause of malignant mesothelioma. Asbestos fibers, when inhaled or ingested, can lead to cellular damage in the mesothelium.
  • Occupational Exposure: Individuals working in industries like mining, construction, shipbuilding, and insulation manufacturing are at higher risk due to prolonged asbestos exposure.
  • Secondary Exposure: Family members of asbestos-exposed workers can also develop mesothelioma.
  • Environmental Exposure: Natural asbestos deposits or contaminated water sources may contribute.

Risk Factors of Malignant Mesothelioma

  • Age: Most cases occur in individuals aged 50 and older.
  • Gender: Men are more commonly affected than women.
  • Genetics: Certain genetic mutations may increase susceptibility.
  • Radiation Exposure: Prior radiation therapy for other cancers may elevate the risk.

Symptoms of Malignant Mesothelioma

1. Pleural Mesothelioma: Chest pain Painful coughing Shortness of breath Unexplained weight loss Lumps under the skin on the chest
2. Peritoneal Mesothelioma: Abdominal pain Swelling Nausea Unexplained weight loss
3. Pericardial Mesothelioma: Breathing difficulty Chest pains
4. Testicular Mesothelioma: Detected as swelling or a mass on a testicle

Preventions of Malignant Mesothelioma

  • Avoid Asbestos Exposure: If you work in high-risk industries, follow safety protocols and use protective gear.
  • Home Safety: If your home contains asbestos materials, seek professional removal or encapsulation.
  • Regular Health Checkups: Early detection is crucial.

Diagnosis of Malignant Mesothelioma

  • Imaging Tests: X-rays, CT scans, and MRIs to visualize abnormalities.
  • Biopsy: Tissue samples are examined under a microscope.
  • Blood Tests: Detect specific markers associated with mesothelioma.

Treatment for Malignant Mesothelioma

  • Surgery: Options include pleurectomy/decortication (removing affected tissue) or extrapleural pneumonectomy (removing lung and surrounding tissue).
  • Chemotherapy: Administered to shrink tumors.
  • Radiation Therapy: Targets cancer cells.
  • Immunotherapy: Boosts the immune system.
  • Clinical Trials: Investigational treatments.

When to seek medical attention ?

  • If you experience persistent symptoms such as chest pain, shortness of breath, or unexplained weight loss.
  • If you have a history of asbestos exposure, even if symptoms are not yet present.

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