Diagnosis of Mesothelioma
Mesothelioma examination will begin with anamnesa of the patient's symptoms, personal and family medical history of the patient. Amnesa is a conversation conducted by a doctor directly to the patient as a way to obtain data about the conditions and medical problems that are being experienced by the patient. In addition to the procedure, the doctor will do a physical examination to check for lumps or other abnormal signs that are present in the patient
Important Facts about Diagnosis of Mesothelioma
Only a biopsy can confirm the diagnosis of mesothelioma.Imaging scans and blood tests help identify and monitor mesothelioma.Early stage diagnosis leads to more treatment options and a longer life span in patients.
The doctor can then instruct to carry out supporting examinations as part of an effort to diagnose mesothelioma. Common tests are done to diagnose mesothelioma, including X-rays to check for abnormalities in the chest and CT scan to examine the area of the chest and abdomen.
Biopsies or other tests can also be done to determine what diseases cause symptoms to appear in patients. A biopsy is a laboratory examination of a small amount of tissue that can be taken from various parts of the body, depending on the location of the disease. The tissue is then examined in the laboratory to find out what type of cell is causing the disorder, as well as knowing the type of cancer the patient has.
Types Of Biopsy
As for some types of biopsies that might be recommended for the diagnosis of mesothelioma, namely:
a. A biopsy uses a small fine needle to pull a sample of tissue or fluid from the chest or abdomen.
b. Laparoscopy
Biopsy by making a small incision in the abdominal area to take tissue. This procedure is assisted with a very small operating device and camera.
c. Laparotomy
Biopsy by open open abdomen to take tissue that will be examined for the presence of other diseases or disorders.
d. Torakoscopy
or VATS (video-assisted thoracoscopic surgery).A biopsy by making a small incision between the ribs to insert a small camera and operating instrument into the chest cavity and take a small sample from the tissue to be examined.
e. Thoracotomy
Biopsy by dissecting an area between the ribs to examine the area, whether there are signs of disease and taking tissue samples if needed.
After the diagnosis is obtained, the doctor will carry out further tests on the patient's body, such as the MRI imaging test and PET mapping, to determine the stages of the disease and the treatment steps that can be taken. There are four stages in pleural mesothelioma, while the spread stage in other rarer types of mesothelioma is still unknown.
The four stages of pleural mesothelioma
The four stages of pleural mesothelioma consist of:
a. Stage I -
The condition of mesothelioma is still local, which is only in one area in one breast layer.
b. Stage II -
Mesothelioma has spread outward from the lining of the chest to the lung area or diaphragm.
c. Stage III -
Mesothelioma has spread to other areas in the chest or has attacked the nearby lymph nodes. Some locations of lymph nodes in humans are in the neck, armpits, and around the groin,
d. Stage IV -
Mesothelioma is the advanced stage that has spread throughout the chest or other body areas, such as the brain and liver.
Timeline for Diagnosing Mesothelioma
The timeline for diagnosing mesothelioma varies from patient to patient. This is based on symptoms, the experience of the doctor with the disease, the type of test needed to ascertain the disease and the time to wait for the test results.
The following are possible, and general, chronological explanations for the long process of diagnosing mesothelioma:
Day 1:
Initial symptoms such as shortness of breath, fatigue and chest pain often occur. Usually not diagnosed at the time, but the doctor may order X-rays.
Day 2:
X-rays determine the fluid in the lungs can become pneumonia.
Day 3-Day 13:
Doctors prescribe antibiotics to treat pneumonia (10-day treatment) or drain fluid into the pleural cavity. No cancer cells are detected in the liquid.
Day 14:
X-rays after treatment show clean lungs. The doctor ordered X-rays follow-up and asked the patient to return in 30 days.
Day 44:
X-ray follow-up shows fluid buildup in the pleural cavity again. Doctors drain fluid, which may again test negative for cancer cells, or treat pneumonia with antibiotics again (add 10 days). The doctor ordered PET scan and CT scan.
Day 54:
Imaging scans show possible causes or recurrent pneumonia. The patient is referred to the surgeon to make an appointment, which can take up to 15 days.
69th day:
The surgeon schedules a biopsy appointment, which can take up to 10 days.
Day 79:
The surgeon takes a biopsy, usually done through VATS (a procedure that uses a thin optical fiber tube to enter the chest cavity and take a biopsy sample). This usually requires three days of treatment at the hospital for patients. Laboratory work to ensure mesothelioma can take up to 10 days if the surgeon sends a biopsy to an outside laboratory.
Day 89:
(About three months later): Mesothelioma is confirmed if a positive biopsy test for this disease.
Treatment of Mesothelioma Cancer
Mesothelioma treatment is to extend the patient's life expectancy. Mesothelioma treatment can be done by surgery, chemotherapy, radiation, and alternative medicine naturally.
a. Operation
This surgical treatment aims to remove tumors that develop in the lung membrane that cover internal organs. This surgery also needs to be combined with therapy.
b. Chemo therapy
This chemotherapy aims to kill cancer cells and shrink tumor cells in the lungs. The drugs that are often used in chemotherapy are cisplatin combined with pemetrexed to get optimal results.
c. Radiation
This radiation is very effective in handling cancer cells and tumors. This therapy is usually combined with surgery. This radiation is very effective because it kills cancer cells and tumors evenly.
d. Acupuncture
This acupuncture treatment is very much in demand, because it has been proven to relieve the symptoms associated with Mesothelioma. Such as shortness of breath, pain, anxiety, and depression.
e. Herbs
Some plants that can overcome or prevent cancer are astragalus, celandine, mistletoe, claw cat and vitamin C. These plants are very effective to increase endurance.
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