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Latest Asbestos News
Treatment guides issued for asbestos-related disease
The American Thoracic Society published a guide for treating nonmalignant diseases related to asbestos exposure.


Alimta Approved as First Licensed Treatment for Mesothelioma, a Deadly Cancer Caused by Asbestos

Halliburton Posts Loss on Asbestos Charge

Hercules will drop asbestos suit

W.R. Grace says it is target of grand jury probes

 MESOTHELIOMA

Mesothelioma

Mesothelioma is a serious cancer occurring in individuals exposed to asbestos. Asbestos is the only established cause of Mesothelioma.

Mesothelioma is not lung cancer and it is not caused by smoking.

Mesothelioma is caused by breathing in asbestos fibers. These fibers travel through the lung and become lodged in the pleura (a thin, saran wrap-type membrane that lines the lungs.) Asbestos fibers irritate the cells in the lining of the lung and cause Mesothelioma. In some cases, Mesothelioma can also develop in the stomach and abdomen areas.
 
Asbestos Exposure Causes Mesothelioma
Even a small amount of asbestos exsposure can cause Mesothelioma. In addition, Mesothelioma often does not develop until at least 20 years after exposure to asbestos. As a result, people who were exposed to asbestos in the 1950s, 1960s, and 1970s are just now becoming sick with Mesothelioma. In fact, the incidence of Mesothelioma is actually increasing. Click here for a list of the occupations and jobs at risk for exposure to asbestos.
 
For more information on Mesothelioma, visit the National Cancer Institute's Mesothelioma Page or the American Cancer Society.

Diagnosis of Mesothelioma

In a typical case, an individual with Mesothelioma will first experience chest pain and shortness of breath. Often, there is a build-up of fluid in the lung area, known as a plueral effusion. Since many doctors may not have experience treating Mesothelioma patients, these symptoms are often mistaken for other lung problems, such as pneumonia.

The following represents a list of diagnostic procedures that a doctor may use to determine whether a person has Mesothelioma.

Imaging tests, such as CAT Scans, x-rays and MRIs allow doctors to see a picture of the area in question.

A bronchoscopy or a mediastinoscopy uses a lighted tube to let the doctor look at the affected area of lung.

Cytology tests involve examining the pleural fluid for cancer cells after the fluid is removed from the lung area using a needle. Fluid samples may be taken with a needle and sent to the lab to see if cancer cells are present. Medical experts consider this test to have limited value in diagnosing Mesothelioma, because negative or inconclusive readings can result from the tested fluid.

A thoracoscopy or a laparoscopy procedure involves looking directly at the tumor and taking a sample of tissue. The tissue sample is examined by a pathologist then examines. In these procedures, a doctor makes a small incision and uses a tiny video camera to look at the area in question.

A needle biopsy, which is done under anesthetic, involves inserting a large hollow needle through the skin and into the chest cavity. The doctor rotates the needle and as the needle is taken out, the doctor can collect tissue samples. Because of the small sample size of the tissue, experts consider this type of biopsy to be only 25 to 60 percent accurate in diagnosing Mesothelioma.

Experts consider the open biopsy the most accurate for Mesothelioma diagnosis. It is the procedure of choice because it affords the pathologist a larger tissue sample. Surgeons perform open biopsies in hospitals under general anesthetic.

A doctor may want to do other tests as well. Doctors often encounter difficulties in diagnosing Mesothelioma. In some cases a pathologist may use an electron microscope to look at cells in greater detail. If after thorough review a pathologist confirms a diagnosis of Mesothelioma, the doctor may want to do further testing such as a PET scan to learn the stage or extent of disease. Knowing the stage helps the doctor form a treatment plan.
 
Mesothelioma Treatment Options

Mesothelioma is an aggressive cancer that strikes over 3000 individuals per year. For the workers who are sick with Mesothelioma and their families, the course of this asbestos-caused cancer can be devastating.

Thre are three traditional kinds of treatment for patients with mesothelioma: surgery which removes the cancerous masses from the body; chemotherapy, which uses a variety of potent drugs to kill the cancer; and, radiation therapy, which uses high doses of x-rays to kill the cancer cells. Oftentimes, doctors use two or more of these treatment courses together to maximize the likelihood of success.

Surgery

Several types of surgery exist for treating mesothelioma. A pleurectomy/decortication removes part of the chest or abdominal lining and the surrounding tissue. Doctors most often use the pleurectomy as a palliative procedure to relieve pain and prevent pleural effusion, or the build-up of fluid between the lungs and the chest cavity. While a surgeon can remove a good deal of the tumor through pleurectomy, the procedure often leaves Mesothelioma along the diaphragm and lungs. A more aggressive surgery, known as pneumonectomy, removes an entire lung in order to remove the Mesothelioma. In extrapleural pneumonectomy the surgeon removes the affected lung along with the lining and diaphragm on the affected side and the lining around the heart.

Chemotherapy

Chemotherapy uses drugs to kill cancer cells. Doctors may administer chemotherapy by pill or through a needle into a vein or muscle. Doctors can administer chemotherapeutic agents either systemically (through the blood stream) or intrapleurally (in the pleural cavity). When administered intrapleurally, the chemotherapy treatment is localized at the site of the tumor. The drugs used for chemotherapy are generally very toxic and are usually accompanied by serious side effects including nausea, vomiting, anorexia, hair loss, and exhaustion. Side effects vary depending on the particular drugs used for the chemotherapy.

Single-agent therapy utilizes only one drug in the chemotherapy regimen to treat the cancer. Several agents have demonstrated modest success in effectively treating Mesothelioma. Doxorubicin, probably the most extensively studied agent, has a response rate in the 15 percent range, as do detorubicin, pirarubicin, and epirubicin. Other agents, such as carboplatin, mitomucin, cyclophosphamide, and ifosdamide have similar response rates ranging from 10 to 20 percent. Researchers have studied cisplatin in a number of trials and discovered an approximately 14 percent response rate. One small study of very high dose-intensity cisplatin demonstrated a 36 percent response rate, but the high responsiveness lasted only 2 to 8 months.

Because single-agent chemotherapy regimes have failed to show great effectiveness (response rates less than 20 percent), researchers have examined several combination regimens for treatment of patients with Mesothelioma. Combinations including doxorubicin, cisplatine, mitoxantrone, and bleomycin have been reported to realize response rates of up to 44 percent. Such high response rates have not been consistent, and overall combination therapy yields response rates similar to singe-agent therapy.

Radiation Therapy

In radiation therapy, doctors use high-energy x-rays to kill cancer cells and shrink tumors. Radiation may come from a machine outside the body (external radiation therapy) or from putting materials that produce radiation (radioisotopes) through thin plastic tubes in the area where the cancer cells are found (internal radiation therapy).

Doctors sometimes use radiation therapy as the main treatment for Mesothelioma in patients who might not be well enough to have surgery. Doctors also use radiation in combination with surgery, or as a way to ease symptoms such as shortness of breath, pain, bleeding, or trouble with swallowing.

There can be side effects from radiation. The skin in the area treated may look sunburned and then become darker. These effects will go away after a short period of time.

For a list of National Cancer Institute treatment centers,
click here.
 
New Treatments For Mesothelioma

Earlier this year, the University of Chicago Cancer Research Center released the results of a yearlong clinical trial of Pemetrexed Disodium -- also known as Alimta. Researchers found that patients who combined Alimta with vitamin treatments and the chemotherapy drug, Cisplantin, lived longer and suffered less pain and difficulty breathing than those who only used chemotherapy.

Alimta is scheduled to go to the Federal Drug Administration for fast-track approval in 2003. Given the time it takes for an official FDA approval, the drug's maker, Eli Lilly, has arranged with the FDA to begin offering compassionate use of the drug in the interim. Patients who are currently not receiving treatment are eligible for the program.

Currently, there are also numerous clinical trials in various phases of development taking place around the country. To learn more about compassionate use of Alimta or to find out more about a clinical trial in your area, click here.
 
For more information on current Mesotheliomia treatment options, click here.

There is presently no known cure for Mesothelioma. As the disease progresses, the cancerous cells harden the lung area and spread. As time passes, breathing, sleeping and eating become more difficult, and it becomes increasingly more challenging for the victim to engage in normal activities and enjoy life.
 
Mesothelioma Was Preventable

Mesothelioma was preventable. Many of the corporations that manufactured and profited from the sale of asbestos-containing products were aware of the hazards of asbestos as early as the 1920's. Alternatives to asbestos were also available in the 1920's. Notwithstanding the deadly hazards of asbestos, corporations chose to sell and recklessly use asbestos in products from the 1920's through the 1980's (when most of these products were banned in the United States and abroad). The manufacturers did not warn workers exposed to the asbestos in their products. The result is that many Americans have unnecessarily and tragically contracted Mesothelioma.
 
Protect Your Legal Rights

If you have been diagnosed with Mesothelioma, 
contact Belluck & Fox immediately to protect your legal rights. We are experienced mesothelioma attorneys who focus on providing professional and personalized representation to Mesothelioma victims.
 
Large settlements and verdicts can be obtained in Mesothelioma cases, but it is important to have qualfied and experienced lawyers to handle your case.  At Belluck & Fox, we will use our years of legal experience to counsel you about your legal rights and give you individualized representation.  Contact us now for an instant case evaluation.

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