Malignant
Mesothelioma is the most serious of all asbestos-related diseases. Exposure to
asbestos is the primary cause and risk
factor for mesothelioma.
Making a
correct mesothelioma diagnosis is particularly difficult for doctors because
the disease often presents with symptoms that mimic other common ailments.
There is currently no known cure for mesothelioma, but treatments such as
surgery and chemotherapy can help to improve the typical mesothelioma prognosis
and even increase one's life expectancy.
Three major types
of mesothelioma exist and they are differentiated by the organs primarily
affected. Pleural mesothelioma (affecting the lung’s protective lining in the
chest cavity) represents about three-quarters of all mesothelioma incidence. Peritoneal
mesothelioma, which affects the abdominal cavity, and pericardial mesothelioma,
which affects the cardiac cavity, comprise the remainder.
There are
three recognized mesothelioma cell types. Between 50% and 70% of all
mesotheliomas are of the epithelial variety.
While prognosis is generally poor, it is considered less aggressive than sarcomatoid
mesothelioma and biphasic mesothelioma, which comprise the remainder of
cell-type diagnoses.
The cavities
within the body encompassing the chest, abdomen, and heart are surrounded by a
membrane of cells known as the mesothelium. Mesothelial cells assist in general
organ functions. The mesothelium is particularly important to organs that are
commonly in motion, such as expansion or contraction of the lungs, stomach, or
heart. Lubrication from the mesothelial cells allows free range of motion
within the body. The mesothelium of the chest, abdomen, and cardiac cavity are
called the pleura, the peritoneum, and the pericardium, respectively. Each of
these groupings of mesothelial cells is extremely critical to the functions of
the body structures which they encompass.
Malignancies
(cancerous tumors) occurring within the mesothelial membranes are known as
malignant mesothelioma, or simply mesothelioma. Benign tumors of the
mesothelium are known to occur, but are much more rare than malignant
mesothelial tumors.
While tumors
of the mesothelium were first recognized in the late 18th century, it was not
until the middle of the 20th century that this particular cancer was studied
and examined with more detail. It was at this time when suspicions of the
cancer’s causal relationship with asbestos exposure became more substantiated.
A joint reserch venture through the Department of Thoracic Surgery at the
University of the Witswater and Johannesburg General Hospital in South Africa
provided the most compelling evidence of the nexus between asbestos exposure
and the development of pleural mesothelioma.
Incidence of
mesothelioma is still quite rare, with only 2,500-3,000 diagnoses in the United
States each year. There was a spike in reported diagnoses between 1970 and
1984, which has been attributed to the latency period between diagnosis and the
height of industrial exposures, which occurred roughly 40-60 years prior to
this time. While exposure was common across the United states in nearly all
industries, it was particularly prevalent in the WWII-era military industrial
cycle, including navy shipyard.
Although
this cancer is much more common in men over the age of 60, mesothelioma in
women and children has been documented as well. Mesothelioma causes for
diagnosis in women and children are mainly attributed to secondary exposure to
asbestos, as it was not uncommon for men to bring asbestos back into the home
on their bodies or clothing.
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