Mesothelioma Treatment OptionsYour mesothelioma plan will be based on a variety of factors. Your cancer care team will discuss with you the most effective treatment options.Mesothelioma-targeted therapies slow cancer cell growth by depriving them oxygen. They are often utilized in combination with chemotherapy drugs.Doctors should be cautious when performing cytoreductive surgeries for patients with epithelioid histology. However, treatment for sarcomatoid mesothelioma can improve the chance of survival.ChemotherapyChemotherapy is a common treatment for mesothelioma and can help prolong the life of patients. It makes use of anti-cancer drugs to kill the mesothelioma and stop the growth. Typically, doctors will administer chemotherapy via injections. They may also deliver it through the vein (intravenously). For patients with pleural mesothelioma the drug combination of pemetrexed with cisplatin or carboplatin is most commonly used for patients. It is typically given every 3 weeks for a series of treatments, called cycles. Patients may experience side-effects that can be severe or mild during chemotherapy. These side effects could include nausea and vomiting. Most, if not all of these side effects, will disappear after the treatment has ended.HIPEC is an operation that delivers chemotherapy directly into the abdomen for mesothelioma peritoneal that is pleural. It is usually done in conjunction with surgery.It is important to discuss all available options for treating mesothelioma with a specialist physician. This can help patients know the risks, benefits and potential adverse effects of each treatment option. A reputable mesothelioma doctor has extensive experience in treating patients suffering from mesothelioma, and has a track record of successful treatment. They should also be capable of answering any questions patients or their families may have.Mesothelioma is a rare disease and it is crucial to locate the most qualified mesothelioma doctor. This will help ensure that patients receive the best care possible.If you aren't sure about the options for treatment your mesothelioma physician suggests, it may be worth getting a second opinion. You'll be more confident in the plan your doctor has laid out.A lot of people with mesothelioma can qualify for clinical trials that test new treatments. These trials can be an excellent option for patients who've exhausted all other options. If you are interested in taking part in a mesothelioma-related clinical trial, contact your physician to determine whether you're eligible. Check out our Clinical Trials section for more information on mesothelioma.Radiation TherapyThe spread of mesothelioma makes it difficult to eliminate with surgery or other therapies. There are a few palliative treatments that can help relieve symptoms, such as pain. Some of these procedures require minimal invasiveness. One non-invasive option is for doctors to eliminate excess fluid from the affected area. This can ease pressure on the lungs or stomach organs, and ease pain.Another treatment option is chemotherapy, which employs drugs to kill cancerous cells or slow their growth. Systemic chemotherapy works by moving throughout the body to kill cancerous cells. Doctors may use systemic chemotherapy prior to mesothelioma surgery (neoadjuvant therapy) to make them easier and also after surgery to reduce the risk of the recurrence.Radiation therapy, which makes use of radiation beams to eliminate mesothelioma cancers or slow their growth, can be utilized to treat both peritoneal and pleural mesothelioma. In addition to eliminating cancer cells, radiation also aids in managing symptoms like chest pain and difficulty breathing. For patients with peritoneal mesothelioma, radiation can be administered after the procedure known as cytoreduction that involves chemotherapy that is heated.In a cytoreduction surgery, surgeons remove the tumors from your abdomen and then cleanse it with a steamed chemotherapy known as HIPEC. The radiation can be applied to the area by medical professionals to ease symptoms and improves survival rates.Patients with mesothelioma of the pleural in stages 1 or 2 could be candidates for surgical resection, a procedure that removes a part of the tumor from the pleura. The surgeons remove as the amount of tumor tissue as is possible as well as the surrounding tissues, such as diaphragms and pericardiums. Some specialist centers also provide intraoperative chemotherapy that is heated to kill any remaining tumors following surgery.Combining treatments is usually the best option for patients with mesothelioma. Most doctors favor using multimodal treatment, which includes chemotherapy, surgery and sometimes radiation immunotherapy. A lot of these treatments are considered experimental and aren't yet approved by the FDA. Speak to your doctor about the possible benefits of these therapies. Be aware of the possible adverse effects, such as nausea, fatigue and the risk of infection.SurgeryDoctors have several options for pleural mesothelioma surgery that can eliminate cancerous tissues or to improve symptoms. Mesothelioma is more prevalent in the lung tissue (pleura) however it can also develop in the lining of the chest cavity or tummy (peritoneum).Before the surgery the doctor will test for the stage of mesothelioma. This allows them to select the best treatment. The most frequently used tests include physical examinations as well as chest X-rays and CT scans. Other tests could include a blood test or biopsy. work to check the condition of your organs.A biopsy is the process of inserting a needle into the abdomen, chest or groin area to collect fluid samples or tissue samples. These are analyzed under a microscope to see whether they are mesothelioma-related cells. In addition doctors can make use of the MRI to see images of your mesothelioma, without surgery.After the biopsy, specialists in mesothelioma may discuss the results of the biopsy with you. They may recommend a multimodal treatment plan. This is the best way to prolong life and improve quality of life.In a multimodal treatment plan doctors will combine various types of treatments such as chemotherapy radiation or surgery. They will create a personalized treatment plan that is suited to your needs and goals. The doctor will provide you with details on the treatment and any potential side effects.Chemotherapy employs drugs to kill cancer cells and stop them from dividing or growing. It is the most commonly used method of treatment for mesothelioma, and is often used in conjunction with other treatments. Mesothelioma patients must be aware that chemotherapy drugs may cause a wide range of adverse effects that range from nausea and hair loss to fatigue and vomiting. It's important to keep your doctor up-to-date on any new prescription medications you're taking, as well as any herbs or supplements you're taking.It is essential to discuss your goals with your doctor before choosing the best treatment plan. Many patients find that their mesothelioma treatments extend their lives far beyond their initial prognosis. Pleural mesothelioma patients have survived for decades after undergoing EPP, which is a radical procedure to remove the affected lung. Others have survived for more than 10 years after receiving the cytoreduction procedure and HIPEC. This combination removes as many cancerous tissues as possible.Symptom ManagementThe most common treatment for mesothelioma includes chemotherapy, radiation therapy and surgery. The treatment choice is based on a variety of factors such as the stage (extent) of the cancer, whether it is not resectable, and the patient's general health and preferences. Certain patients with mesothelioma might decide to participate in clinical trials that evaluate new types of treatment or doses of existing ones.Many people diagnosed with pleural mesothelioma experience difficulty breathing, chest pain and coughing. They also suffer from other symptoms like abdominal discomfort, bloating, and fatigue. These symptoms are caused by fluid buildup within the pleura. This can press against the chest and block airflow. In most cases, doctors can alleviate these symptoms with medications.A doctor will assess the patient suspected of having mesothelioma. They may also order imaging tests, such as X rays or CT scans. They may also examine the patient's blood and urine to see if they have certain proteins that are associated with mesothelioma. They may also order a procedure called thoracentesis or paracentesis to take a sample of fluid from around the lungs for further evaluation. In certain instances, they will drain the fluid with a procedure known as pleurodesis, also known as decortication.Mesothelioma can infect the lymph nodes and other parts of the body, so a doctor may order additional tests to determine how far the disease has progressed. These tests are used to assign a mesothelioma stage. A lower number means that the mesothelioma has been localized around the lungs. A higher number indicates that it has been spreading.Many mesothelioma patients can improve their quality-of-life by making lifestyle modifications. Patients can ensure they eat a balanced diet and exercise regularly. They can also try nonpharmacological methods like massage and physical therapy to reduce their symptoms. Acupuncture has been helpful for those suffering from mesothelioma for managing their pain. A support network can help patients navigate their treatment and recovery. They can assist a patient in preparing meals, transportation and other responsibilities. They can also offer emotional support.