Medical mesothelioma diagnosis

by Mr.sc. Adam Vrancic

Medical thoracoscopy in the diagnosis of unexplained pleural effusion.

Respirology 1998 Jun;3(2):77-80

Wilsher ML, Veale AG

Respiratory Services, Green Lane Hospital, Auckland, New Zealand.

Approximately 20% of pleural effusions remain without an established aetiology after evaluation. Thoracoscopy has a very high sensitivity for the diagnosis of both benign and malignant diseases and greatly increases the diagnostic yield for pleural effusion. We sought to evaluate the diagnostic yield and safety of medical thoracoscopy at this institution.

The records of all patients undergoing medical thoracoscopy for the evaluation of undiagnosed pleural effusion between 1990 and 1996 were reviewed. The procedure was performed under local anaesthesia with sedation using a Stortz rigid thoracoscope. Fifty-eight patients had thoracoscopy, most having had two (range: 1-6) non-diagnostic pleural aspirations and biopsies of the pleura. Nineteen patients were found to have mesothelioma and nine metastatic malignancy. Three patients were considered likely to have tuberculous pleural disease, six had asbestos related benign pleural fibrosis and three post-cardiotomy syndrome.

There was one chylous effusion of uncertain aetiology, one posttraumatic and two other benign effusions, both of which resolved without clear aetiology. On seven occasions the pleural space could not be adequately accessed, but none of these patients had prior computerized tomography (CT) or ultrasound of the pleural space. There were five false negative diagnoses of malignancy, but no false positives.

The diagnostic sensitivity for pleural malignancy was 85% and specificity 100%. There were no major complications, but four patients had late tumour seeding at the thoracoscopy site. Medical thoracoscopy is a safe procedure with a high diagnostic yield. Pre-operative evaluation of the pleural collection using ultrasound or CT increases the likelihood of successful access to the pleural space and may increase diagnostic yield.

For more information go to http://www.mesotheliomacentar.com/

About the Author
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Medical view of mesothelioma

by Archana Sarat

Medical View of Mesothelioma

More than 8 million people have been exposed to asbestos and are at risk of succumbing to mesothelioma. Mesothelioma is caused when the mesothelium cells start to divide rapidly leading to cancer. The only known cause of mesothelioma is exposure to asbestos fibers. The disease has a very long latency period, sometimes even around 60 years. The disease has no known cure and death becomes inevitable.

It is also very hard to correctly diagnose the disease in the early stages, as the symptoms of the disease are similar to other non-malignant diseases like pneumonia. The asbestos fiber, which is light and invisible, is released during mining and manufacture of asbestos. It is inhaled easily through nose and mouth and affects the mesothelium lining of the body part that it comes into contact with. This sets off the mesothelium cells rapid division operation, resulting in tumors. The mesothelium lining can be found in the organs like lungs, abdomen and heart.

Depending on this, mesothelioma can be classified into three categories: § Pleural mesothelioma, which affects the lungs, § Peritoneal mesothelioma, which affects the abdomen, and § Pericardial mesothelioma, which affects the heart.

Due to the long latency period of the disease, people who have worked in asbestos-related factories in their youth may contract the disease in their old age during or after retirement. Many of them may have shifted many jobs by this time and they do not relate their condition to asbestos exposure. Thus, they do not consider mesothelioma as an occupational disease. They face huge sorrow at having to part with their loved ones in such a tragic way.

Life of Jack Daws

Jack Daws was working as a tutor in the rural regions of Pennsylvania. He had a beautiful wife and a handsome son. He had what is called as a perfect family! They were always supportive and co-operative. They had enduring love and constant hope on each other.

Jack Daws loved his job as he loved kids of all ages and all sizes. He was the coach of the local soccer team during weekends. When Jack was around 55 years, he was planning on getting a retirement from the school where he tutored in another year or two.

At this crucial point of time, Jack slowly started realizing something was wrong with his health. He felt a constant pain in his chest and severe shortness of breath. He, his family and his doctor dismissed all these symptoms as a cause of aging, initially. But, slowly, his condition started to worsen. He felt as if a heavy weight has been placed on his chest. Also, he started losing weight rapidly. By now, the doctor also started sensing that something was wrong with Jack. The doctor conducted a whole lot of tests on Jack. One of the tests that were conducted was to study the fluids & cells in his lungs. After this test, the doctor felt that it appeared cancerous. Further tests followed to make the right diagnosis. It was, finally, confirmed. Jack suffered from ‘Pleural Mesothelioma’, I.e. mesothelioma affecting the lungs. Doctors felt that Jack had only another year or two of life on earth. Jack started analyzing how he contracted mesothelioma. He had never worked in any asbestos-related industries. Slowly, it dawned on Jack. Lots of construction and painting work used to be done on in his school.

Due to his long career at the school, he was constantly exposed to asbestos dust, which was used during the painting work. The company, which did the job for the school, did not take any safeguards to protect, anyone. Jack was advised to initiate proceedings against the company. The company did not disclose the dangers of asbestos and behaved in a selfish profit-oriented manner.

When Jack initiated proceeding against the company, it was found that lots of people have already sued the company for the same reason and have won their cases. Thus, the Company did not want to go into lengthy and expensive legal proceedings. They agreed to go in for an out-of-court settlement. After negotiations, the company paid Jack around a million dollars for the health damages he suffered and around two million dollars for his family-dependents. Jack underwent treatment at a cancer center. The cancer was spread all around his body and surgery was ruled out for him. Jack underwent chemotherapy and lived a life of suffering for the next two years. After that he succumbed to the disease. However, his soul will rest in peace as he has provided a safe and comfortable settlement for his loving family members.

About the Author
Archana Sarat is a freelance writer and medical researcher. Know more about mesothelioma at http://www.rarehope.com

Asbestos Related Mesothelioma Cancer : Blood Test

Asbestos Cancer Mesothelioma is a malignant disease to take a lot of lifes each year, many people concentrate their effort in to know o find out a cure for this disease, and in other economic aspect of the asbestos, such as money compensation.

However, last researches to point out that a blood test could help screen for pleural mesothelioma by checking the blood for high levels of a protein called osteopontin, because blood esteopontin levels rise dramatically in the early stages of pleural mesothelioma, this kind of cancer is a deadly asbestos related illness.

The pleural mesothelioma is a rare disease of the lining of the lung and chest cavity that is usually cancerous, the cause is asbestos exposure and it could take 15 to 35 years to develop the disease, from the time of asbestos exposure.

The above exposure can be direct with the substance or second-hand with a family member whose clothing or skin carried the asbestos into the home. Obviously in the last case the development of the disease could take more than 35 years.

To say, the pleural mesothelioma was so difficult to detect its in early, high mortality rate and a life expectancy of few months, but with the new blood test there are higher percentage of probabilities to detect this kind of cancer, moreover its can detect or determine other kinds of asbestos related cancer. But in the letter case the findings need further study, other kind of cancer to could be early detected for osteopontin blood test is for instance “Ovarian Cancer”.

So, the earlier to pleural mesothelioma cancer is detected, the better and if you want to know how to do it, a blood test could be very useful in this case, and don�t forget it, “Osteopontin”.
Author: Hector Milla


Source: http://www.articlealley.com/article_14595_23.html

Mesothelioma cost of the treatment: What you need to know

The Mesothelioma is a malignant disease. There are essentially three types, pleural effusion, pericardial and peritoneal dialysis. Like any form of malignant cancer, the overall cost of the treatment can be very large. A person may be asked thousands of dollars every month. The cost for the treatment of the disease depends on several factors, namely age, the side effects of treatment, the impact of treatment on the general health and the chances of survival, so that the timing and severity These problems and the institutions to which they . Subsequently, a number of treatments necessary to the outcome of the disease.

The radiation therapy is used to detect tumours with high energy radiation, which by some emission of radiation materials or machinery. The surgery is used to remove or mourners body of his hand, and the chemotherapy is used in cancer cells by intravenous injection of drugs in the affected areas. Sometimes a combination of two or more therapies required to ensure the disease. There are other methods of treatment, including thoracentèse paracentesis and the liquid from the chest and abdomen.

The important point to note is that individuals often have the disease because of negligence of the employer, often knows very well the effects of exposure continuing flakes dust, asbestos and the health of the worker, but does not issue warning before the provide employment or adequate measures to prevent, for example, employers are often responsible for stringent penalties. Thus, the responsibility for the cost of treatment in damages punitive, and the loss of wages to the employer. It’s best for a patient should be, a lawyer immediately after the disease as mesothelioma. As a professional and an experienced lawyer, the prosecutor has a pretty good idea of the cost of treatment, as it may have many similar cases. These costs can therefore be easily retrieved from the employer.