Mesothelioma Cancer Treatment
At the stage of a mesothelioma is an important factor in determining mesothelioma cancer treatment options. But other factors, such as, whether the doctor feels the cancer is resectable, all visible cancer can be removed by surgery. As well as a person’s general health and preferences also play a role. Mesotheliomas can be hard to treat, whether the cancer is resectable or not. It’s very important that you understand the goal of the treatment before it starts. Whether it is to try to cure the cancer, or to help relieve your symptoms, as well as the possible benefits and risks. This can help you make an informed decision when looking at your treatment options.
In general, most stage one and some stage two and three Pleural Mesothelioma are potentially resectable, but there are exceptions. Whether a tumor is resectable, is also based on the sub type. Most doctors don’t believe that sarcomatoid tumors are helped by reception. It depends where it is in the body, how far it has grown into nearby tissues, and if you are healthy enough to have surgery. Many people with resectable pleural mesothelioma have their cancer removed by either pleuralectomy / decortication P/D or extrapleural pneumonectomy.
Surgery is more likely to result in long-term benefit in early-stage cancers where there is a better chance that most, or all of the cancer can be removed. It might offer the best chance to remove the cancer. But it is a complex and extensive operation that is more likely to result in complications and not all patients can tolerate it. Patients with early-stage peritoneal mesotheliomas might also benefit from surgery that removes much of the cancer as possible. This may be combined with heated intraperitoneal high-tech chemotherapy.
Some patients have longer missions after the mesothelioma cancer treatment. Surgery may also be helpful for some later stage cancers but the benefits are more likely to last only a short time. Sometimes the surgeon may think the cancer is resectable based on imaging tests such as CT scans done before surgery.
Operation will tell the truth
But once the operation starts, it becomes clear that not all of the cancer can be removed. In these cases the surgeon may switch to a less expensive operation like P/D which is easier to tolerate or even stop the surgery. Altogether, if it’s not likely to be helpful treatment, it would then be the same as for unresectable mesotheliomas.
Doctors are still studying whether giving chemotherapy, chemo, before surgery, neoadjuvant therapy or giving come over radiation therapy. After surgery adjuvant therapy is helpful, but not all doctors agree on the best course of treatment.
Some doctors prefer to give chemo either before or after surgery. Radiation therapy might be used after surgery, either alone or along with chemo. If you are not healthy enough to have a major operation you will be treated for unresectable mesothelioma. If you have symptoms because of fluid build up in the chest or abdomen other approaches such as thoracentesis /paracentesis described in the section on palliative procedures may be helpful because these cancers can be hard to treat.
Taking part in a clinical trial of a newer form of mesothelioma cancer treatment may be a reasonable option. These types of studies are usually done in large medical centers.
This post will continue in the next post: Part 2