Malignant Mesothelioma Overview
What is malignant mesothelioma?
Cancer is made of changed cells that grow out of control. The changed (abnormal) cells
often grow to form a lump or mass called a tumor. Cancer cells can also grow into
(invade) nearby areas. And they can spread to other parts of the body. This is called
The mesothelium is a tissue that covers and protects the outer surface of some organs.
These include the lungs, stomach, and heart. It also lines body cavities, such as
the chest and belly (abdomen). It makes fluid that helps the organs slide against
each other when you move and breathe.
Malignant mesothelioma is a rare kind of cancer that starts in the mesothelium. It’s
often called just mesothelioma. It most often starts in the mesothelium that surrounds
the lungs (pleura). This cancer is called pleural mesothelioma.
The mesothelium that lines the abdomen is called the peritoneum. If the cancer starts
there, it’s called peritoneal mesothelioma.
Unlike many other types of cancer, mesothelioma often doesn’t grow as a tumor. Instead
it grows along the thin tissue. Over time, mesothelioma can grow into nearby tissues
and organs or spread to other parts of the body.
Who is at risk for malignant mesothelioma?
A risk factor is anything that may increase your chance of having a disease. The exact
cause of someone’s cancer may not be known. But risk factors can make it more likely
for a person to have cancer. Some risk factors may not be in your control. But others
may be things you can change.
The risk factors for mesothelioma include:
Talk with your healthcare provider about your risk factors for mesothelioma and what
you can do about them.
Can malignant mesothelioma be prevented?
There’s no sure way to prevent mesothelioma. But it’s important to stay away from
or limit exposure to asbestos. This is a big concern for people who work in certain
industries. These include construction, insulation manufacturing, and textile manufacturing.
Follow all safety precautions. You may need to wear protective clothing and a respirator.
Many older homes and other buildings may have materials that contain asbestos. If
you think asbestos may be in your home, ask an expert to check your home. Don’t disturb
asbestos or try to remove it yourself. If needed, hire a trained asbestos expert to
check and remove asbestos in your home.
Are there screening tests for malignant mesothelioma?
There are no regular screening tests for mesothelioma in people at average risk. Screening
tests are done to check for disease in people who don’t have symptoms.
But if you’ve been exposed to large amounts of asbestos at work, talk with your healthcare
provider. Some healthcare providers may advise tests to look for early signs of this
cancer. These include CT scans or X-rays.
What are the symptoms of malignant mesothelioma?
Mesothelioma often doesn’t cause symptoms until it’s been there for a long time. Symptoms
depend on where the cancer is.
Pleural mesothelioma (in the chest) can cause symptoms such as:
Peritoneal mesothelioma (in the abdomen) can cause symptoms such as:
Many of these may be caused by other health problems. But it’s important to see a
healthcare provider if you have these symptoms. Only a healthcare provider can tell
if you have cancer.
How is malignant mesothelioma diagnosed?
Mesothelioma is most often diagnosed when you see your doctor because of symptoms
you are having. The doctor will ask you about your health history, symptoms, risk
factors, and family history of disease. He or she will do a physical exam.
You may also have one or more of these tests:
After a diagnosis of mesothelioma, you’ll likely need other tests. These help your
healthcare providers learn more about your cancer. They can help determine the stage
of the cancer. The stage is how much and how far the cancer has spread (metastasized)
in your body. It is one of the most important things to know when deciding how to
treat the cancer.
Once your cancer is staged, your healthcare provider will talk with you about what
the stage means for your treatment. Be sure to ask your healthcare provider to explain
the stage of your cancer to you in a way you can understand.
How is malignant mesothelioma treated?
Your treatment choices depend on the type of mesothelioma you have, test results,
and the stage of the cancer. The goal of treatment may be to control the cancer or
to ease problems caused by the cancer. Talk with your healthcare team about your treatment
choices, the goals of treatment, and what the risks and side effects may be.
Types of treatment for cancer are either local or systemic. Local treatments remove,
destroy, or control cancer cells in one area. Surgery and radiation are local treatments.
Systemic treatment is used to destroy or control cancer cells that may have traveled
around your body. When taken by pill or injection, chemotherapy is a systemic treatment.
You may have just one treatment or a combination of treatments.
Mesothelioma may be treated with:
Talk with your healthcare providers about your treatment options. Make a list of questions.
Think about the benefits and possible side effects of each option. Talk about your
concerns with your healthcare provider before making a decision.
What are treatment side effects?
Cancer treatment such as chemotherapy and radiation can damage normal cells. This
can cause side effects such as hair loss, mouth sores, and vomiting.
Talk with your healthcare provider about side effects you might have and ways to manage
them. There may be things you can do and medicines you can take to help prevent or
control side effects.
Coping with malignant mesothelioma
Many people feel worried, depressed, and stressed when dealing with cancer. Getting
treatment for cancer can be hard on your mind and body. Keep talking with your healthcare
team about problems or concerns you have. Work together to ease the effect of cancer
and its symptoms on your daily life.
Here are tips:
Talk with your family or friends.
Ask your healthcare team or social worker for help.
Speak with a counselor.
Talk with a spiritual advisor, such as a minister or rabbi.
Ask your healthcare team about medicines for depression or anxiety.
Keep socially active.
Join a cancer support group.
Cancer treatment is also hard on the body. To help yourself stay healthier, try to:
Eat a healthy diet, with a focus on high-protein foods.
Drink plenty of water, fruit juices, and other liquids.
Keep physically active.
Rest as much as needed.
Talk with your healthcare team about ways to manage treatment side effects.
Take your medicines as directed by your team.
When should I call my healthcare provider?
Your healthcare provider will talk with you about when to call. You may be told to
call if you have any of the below:
New symptoms or symptoms that get worse
Signs of an infection, such as a fever
Side effects of treatment that affect your daily function or don’t get better with
Ask your healthcare provider what signs to watch for, and when to call. Know how to
get help after office hours and on weekends and holidays.
Tips to help you get the most from a visit to your healthcare provider:
Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered.
Bring someone with you to help you ask questions and remember what your provider tells
At the visit, write down the name of a new diagnosis, and any new medicines, treatments,
or tests. Also write down any new instructions your provider gives you.
Know why a new medicine or treatment is prescribed, and how it will help you. Also
know what the side effects are.
Ask if your condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if you do not take the medicine or have the test or procedure.
If you have a follow-up appointment, write down the date, time, and purpose for that
Know how you can contact your provider if you have questions.