Explaining Mesothelioma The New Aggresive Cancer Just in One Article

Mesothelioma is mesothelium cancer. The mesothelium line of the chest and abdomen, and surround organs in the chest and abdomen. The stomach is part of the body that contains liver, stomach and intestines. On the chest, that The mesothelium is called the pleura, in the stomach called peritoneum. Sometimes mesothelioma can spread to the area around the heart (pericardium).
(the most common type)

The Pleura
The pleura is two fibrous tissues that cover lungs and help protect them. The doctor may call this is the lining of the lungs. The term may be a little confusing to non-medical people as they are on outside the lungs. Pleura also sometimes called pleural membrane. They are about thickness of plastic food wrap. Visceral layer attached to the lungs and the outer (parietal) layer lining the chest wall and diaphragm. The gap between the two pleurae is called the pleura space or cavity. 

Pleura produces filling fluid gap. When we breathe, fluid helps the lungs move smoothly in the chest when they inflate and deflate. Pleural mesothelioma causes thickening of the pleura and many small bumps formed. This thickening can suppress in the lungs or attach yourself to the inside of the chest wall
make it more difficult for the lungs to develop. Liquid collects between two pleural layers and pressing fight the lungs. This is called pleural effusions.

Peritoneal mesothelioma
Peritoneal mesothelioma begins in the peritoneum. This is a sheet of tissue that covers internal organs in stomach. This sheet helps protect organs and allows them to move in the stomach. The peritoneum makes fluid which helps maintain Abdominal organs move freely and smoothly like us move around. Mesothelioma causes thickening the layer that surrounds the abdominal organs. Too cause a collection of fluid in the stomach, this called ascites.

Causes of mesothelioma
Most mesothelioma is caused by exposure asbestos. Asbestos is a mineral rock made from small fiber mass. Asbestos is widely used in building materials, insulation, fire proofing and sound absorption. When asbestos is disturbed, he sends lift fibers into the air which can be easily inhaled. After the fiber is in the lungs or stomach, the body try to break the fiber and remove it, cause inflammation. Other causes of mesothelioma are not completely understandable, but on rare occasions mesothelioma associated with radiation exposure.

How common is mesothelioma?
In New Zealand in 2008, nearly 100 new cases recorded. The number tends to increase, because of the past practice at work that exposes people to the air asbestos fiber. Australian information states that can take more than twenty years after being exposed to anything diseases caused by asbestos appear (can occur up to more than 50 years). However, most workers exposed to asbestos will not develop mesothelioma.

You Can Read Mesothelioma Mortality in Great Britain here

Symptoms of mesothelioma
• Hard to breathe
• Weight loss
• Sweating
• Chest wall pain (blunt pain, heaviness in the chest)
• Persistent dry cough
• Abdominal pain and swelling
(peritoneal mesothelioma)
Rare symptoms
• Difficulty swallowing, hoarseness or coughing
until sputum or blood.

If you go to your doctor with one of the symptoms listed above, your doctor will examine you and arrange for you to have several blood tests and X-rays or they can send You are a specialist. Depending on your symptoms, this may be a lung specialist (for pleural mesothelioma) or
a gastroenterologist (for peritoneal mesothelioma).

Diagnosis of mesothelioma
Mesothelioma is difficult to diagnose. Mesothelioma is possible do not appear on scans or X-rays until bumps large enough. X-ray and / or chest CT scans may be seen pleural thickening or fluid in the lungs or in stomach. If there is liquid, samples can be collected use local anesthesia to make the area numb pass the needle through the skin into the liquid.

Staging of mesothelioma
Staging is a way of describing whether a cancer has spread, and if so, how far. Stage 1 means it has not spread; Stage 4 means it has spread to other organs. Staging helps your doctor to work out the best treatment for you.

ACC funding
Your GP or your respiratory doctor must lodge a claim with ACC (Accident Compensation Corporation) using an ACC45 claim form (this is the normal ACC form that is used for all ACC claims). ACC will then send you and your doctor (by mail or email) a patient information pack. Once this information pack has been completed by you and your doctor the pack will then go back to ACC. Funding decisions are normally made within two to three weeks from the time ACC gets the completed forms (ACC National Asbestos Unit, November 2011).

Your cancer doctor may suggest treating you with a drug called pemetrexed (chemotherapy). Your cancer doctor will then need to complete another form to apply for funding for pemetrexed. If you are eligible, the quicker your claim is sent to ACC, the faster you can receive funding for all you are
entitled to.

How to prevent delay with ACC claims
Follow up with your GP to ensure this claim form is completed quickly. If you are no longer working for the employer where your exposure to asbestos occurred, please state that in your form. If you have email, ask to get the form by email so that you can speed up your claim.

Entitlements may include:
• loss of wages
• home help
• transport
• medicines
• equipment
• lump sum
• changes in residence, for example, rails and ramps.
Source: ACC National Asbestos Unit, November 2011.

To receive a cover, evidence must show that exposure for asbestos occurs in New Zealand for as long as paid work. If you are not entitled to the ACC, Your cancer doctor can make a claim for  'extraordinary circumstances' for Pharmac for funding for pemetrexed.

Treatment for mesothelioma may include a combination of chemotherapy, radiation treatment, supportive care and, rarely, surgery. When mesothelioma is diagnosed, it usually has spread beyond the point where it can be removed by surgery. Although there is currently no cure for mesothelioma, the goal of treatment is to make sure you have goodness quality of life as long as possible. Your GP doctor or respiration must also complete Reportable Occupational System Forms.

Chemotherapy Mesothelioma
This is cancer treatment with anti-cancer drugs. The goal is to destroy cancer cells while doing at least damage to normal cells. Drugs works by stopping cancer cells from growing and reproduce.

Side Effect of Chemotherapy Mesothelioma:
• fatigue and feeling weak (fatigue)
• changes in your blood level: increase risk infection, bleeding and anemia
• nausea and vomiting
• intestinal problems (diarrhea or constipation)
• mouth problems (pain, dry mouth or ulceration)
• dietary problems (loss of appetite, changes in taste, weight loss)
• muscle and nerve problems
• skin changes (rash, swelling, itching)
• changes in your ability to have children (fertility)
• problems with hair loss and scalp (rarely with drugs
used to treat mesothelioma)
• changes in your memory and ability to concentrate (think clearly). This usually improves after treatment already completed.

If you are funded for pemetrexed chemotherapy through ACC, the hospital will need to re-apply
for funding after your third cycle.

Radiation treatment:
Radiation treatment treats cancer using radiation to destroy cancer cells. Radiation can be directed to where the cancer is in your body. Treatment carefully planned to do as little danger as possible for the rest of your body.  Radiation treatment is not often used to treat mesothelioma peritoneum. For pleural sufferers mesothelioma, radiation treatment for small areas chest often helps control pain. Side effects can include fatigue, redness and skin peeling, and loss of hair in the treatment area.

Another way to manage symptoms
• Pleural mesothelioma can cause fluid to accumulate on your chest, causing breathing difficulties. Doctor insert a tube or catheter into your chest to dry fluid. This may need to be done several times if the liquid accumulates again.

• Doctors can also include substances that are similar to talcum powder to your chest to prevent fluid from back (pleurodesis).

• Ascites is a buildup of fluid in the stomach can occur with peritoneal mesothelioma. After Abdominal X-ray, the doctor will insert a tube or catheter into the stomach to drain fluid.

Author: Cancer Society of New Zeland

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