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Treatment by Stage

In order to make the best decision, the medical team will take into account the age, health and stage of the mesothelioma cancer cells.

In Stage 1 – where mesothelioma is present in the right or left pleura. It may have spread into the lung, pericardium or diaphragm on the same side but not the lymph nodes. Treatment could include:

  • Surgery - to remove affected sections of the pleura, lung part of the diaphragm and part of the lining around the heart.
  • Surgery to remove the pleura and the tissue near it, done to relieve symptoms only - not to cure the disease.
  • Radiation – to relieve symptoms when surgery is not an option due the patient’s weakened health.
  • Use of a clinical trial – where new medications are being tested by patient volunteer to find better cures.

In Stage II or III – it’s understood that a cure is not possible and treatments are done to make the patient comfortable. Treatments could include:

  • Tharacentesis or paracentesis – drains the fluid from around the heart or abdomen helps to reduce pain
  • Radiation or chemotherapy to help reduce symptoms
  • Chemotherapy or radioactive drugs - injected directly into the pleural space. This can give some cancer cells and will slow down the fluid build up.

In Stage IV – treatment is done to keep the patient as comfortable as possible.

  • Chemotherapy or radiation – can be given but only if the patient fully understands the side effects. It might not be the best option as it is an end stage of cancer.
  • Supportive care – patients with advanced staged mesothelioma require a strong supportive network, usually requiring more than one person is capable of giving.
  • Pain medication – to make patient as comfortable as possible
  • Clinical trials – new medications to try.

Facing a disease like mesothelioma is difficult for anyone, it’s important to talk over any treatment program with your family and physician.

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