There are three main ways to treat mesothelioma, these, Chemotherapy, Surgery and Radiotherapy.
The surgical procedures in treating the disease amounts used three types - Typical Procedures, Mitigating Procedures, potentially Curative Procedures
Typical Procedures
The typical surgery is a necessary step in confirming and increasing mesothelioma.
- Thoracoscopy allows a physician to examine the pleural space and multiple weefselbiopsieën to be under direct vision. In up to 98% of cases, a definitive diagnosis can be obtained. Often, chemical pleurodesis on reducing the accumulation of fluid in the intrapleural space is addressed during the same procedure be implemented. It is also possible to the extent of the tumor to measure, and the ability to see the tumor surgically removed. While less invasive than an open biopsy, the patient can only be performed where the tumor is not completely blocked the pleural space.
- VAT, or video-attended breast surgery is an alternative to thoracoscopy, although because of its invasion more character to the sowing of the tumor (dislodgement of fragments of the tumor could result from contact). Through small incisions in the skin to use, the surgeon the pleural space with the help of a camera view, and obtain sufficient tissue samples for analysis by a pathologist. The size of the tumor (ie, pleural involvement, the invasion of the chest wall) can also be determined, and recommendation on the type of the debulking of the () contraction necessary procedure can be done at this time.
- Mediastinoscopy is sometimes used as an aid in increasing the extent of disease when enlarged nodes are seen using imaging techniques.
- Laproscopy used in mesothelioma patients in cases where the display techniques possible invasion of the tumor through the diaphragm proposals. This information could be important in evaluating a patient for potential pleurectomy (complete removal of pleura on one side or extrapleural pneumonectomy) () complete removal of one lung.
The attenuating Attenuating surgical procedures are procedures that the symptoms of mesothelioma, without treating the disease itself aggressively to treat.
- The Tube Drainage and Pleurodesis of the breast are considered as mitigating treatments common. The liquid structure, or borstvliesuitstroming are most often the first symptom of mesothelioma will continue to encourage patients to seek medical attention. Once the outflow has occurred, it is often permanent, returning soon after initial thoracentesis (draining of the liquid). to eliminate this problem, the pleural space are closed. This is achieved by means of a talc slurry or other sclerosing agent which causes adhesion to the layers of the pleura together so as to cause the closure of the pleural space to paste.
- Thoracoscopy and Pleurodesis be done with the tax using a powdered form of talc compared talc slurry. Both this and pleurodesis by chest tube drainage and will only be efficient if no tumor that wraps the lung which restricts its expansion.
- Pleurectomy, which is used as a mitigating procedure can be performed where more extensive surgery is not an option. In these cases, we understand that all visible or gross tumor will be removed. It is considered the most effective means to monitor borstvliesuitstroming in cases where the expansion of the lung disease is limited by.
Potentially Curative Procedures These procedures are performed with "curative intent. Their goal is to remove all gross disease, with the knowledge that microscopic disease will most likely continue. The auxiliary therapy (another form of treatment in addition to primary therapy) is in form of chemotherapy and radiotherapy or given to any residual disease to eliminate.
For BorstvliesMesothelioma:
- Pleurectomy / the Decorticate are usually performed on patients with early stage disease (stages I and selected Stage II), and try to remove all gross tumor. If we find that not all tumor can be removed without removing the lung, this can be done simultaneously and called pneumonectomy.
- Extrapleural Pneumonectomy is considerably more basic than other surgical approaches, and by surgeons with great expertise would be conducted on the evaluation of patients and perform the procedure themselves.
For BuikvliesMesothelioma:
- Cytoreductive Surgery is aimed at removing all or almost all visible or gross tumor in the peritoneal cavity. to any remaining cancer cells to treat, Intra-Peritoneal Chemotherapy (heated) Hyperthermic (IPHC) then delivered to the abdominal cavity. The type of chemotherapy drug can be used depending on the preference of the physician vary.
The surgery is usually combined with other types of treatments to achieve maximum results during treatment. Patients should also educate about mesothelioma and treatment options and resources available to achieve the coping on a mesothelioma diagnosis easier to make.