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Coping With Mesothelioma

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From Quick Guide: Mesothelioma Cancer Basics

Summary: Coping with mesothelioma requires coping with the symptoms, which includes fluid in the chest, shortness of breath, chest pain, abdominal pain, vomiting and nausea. Find out what it takes to live with mesothelioma with information from an oncologist in this free video on types of cancer.

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By Dr. Rolf Freter
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Dr. Rolf Freter is a hermatologist and oncologist at South Shore Hospital in Weymouth, MA.read more

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Video Transcript

"Well, the most common side effects of mesothelioma relate to the progressive involvement of the pleura by the cancer -- that is, the covering of the lungs -- or the peritoneum by the cancer -- that is, the covering of the abdomen. And so in the case of the lungs, you literally get a thick rind -- ever-thickening rind -- or orange peel of cancer encasing the lung, which leads to worsening shortness of breath. You're going to also develop a so-called pleural effusion -- fluid in the chest -- that compresses the lung. And so one ends up with chest pain and shortness of breath. To try to cope with that, if one is older or not a candidate for more aggressive therapies, such as extra pleural pneumonectomy -- the removal of the lung -- one might think about a so-called simple pleurectomy or a decortication procedure where the thoracic surgeon goes in and just removes the pleura, thereby, at least, de-bulking to some extent the amount of the disease and allowing the lung to function more. The thoracic surgeon can also go in and drain the pleural effusion, meaning the fluid around the lung, and that can improve the shortness of breath. As far as the pain goes, typically, that's from involvement of nerves in the chest wall. That one has to deal with analgesics, oftentimes morphine-like analgesics, which can be a major problem for these patients. In the case of the abdomen, when one has involvement of the peritoneum, meaning the inside of the abdomen, and fluid, you try to drain the fluid. And one can, again, try to de-bulk the disease in the abdomen. But that's a very major surgery, and not one that many patients are suitable for. So coping often entails symptomatic relief -- pain medications, drainage of fluid in the abdomen or the chest to improve breathing or distention and pain in the abdomen."

eHow Article: Coping With Mesothelioma

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