Pleural mesothelioma mpm cantonal hospital winterthur ksw

When doctors talk about malignant pleural mesothelioma (MPM), they are referring to pleural cancer. Malignant cancer is in most cases due to prolonged contact with carcinogenic asbestos fibers.

Men are significantly more often affected than women. Treatment usually consists of surgery combined with further individual measures.

Causes

Inhalation asbestos-containing substances is considered to be the main factor in the development of so-called mesothelioma. Asbestos is a building material commonly used until the 1980s and has been banned in Switzerland since 1990. Mesotheliomas usually occur in the pleura (pleura). Are then called pleural mesothelioma.

Between contact with asbestos and the onset of the disease can take decades to develop. Affected persons should report the diagnosis to the accident insurance of their former employer.

Frequency

Per year in Switzerland around 190 people New cases of pleural cancer. Men are affected four times more often than women. At the time of diagnosis, most patients are. Patients over 60 years old. Because of the long period of time between asbestos contact. The outbreak of pleural cancer is currently on the rise in Switzerland.

Symptoms

The most common indications of a possible disease are Respiratory distress and Chest pain. Symptoms such as cough, loss of appetite or fatigue can also occur. These signs can also have another, more harmless cause.

In case of a suspicion, however, a medical check-up as soon as possible is recommended. If it is pleural cancer, valuable time is otherwise lost.

Diagnosis

In the case of suspected pleural cancer, the specialists place Imaging procedures a. With a Computer tomography or by means of X-ray examine the chest. In addition, they take a Tie sample (biopsy) and have them analyzed in the laboratory.

If the suspicion is confirmed, the specialists can use video-assisted Thoracoscopy (thoracoscopy) assess the stage of spread.

Treatment

Pleural mesothelioma is difficult to treat and cannot be cured. The reason: pleura cancer spreads areal from. Therefore, the treatment has the goal of gaining more lifespan.

As with other malignant cancers, there are three therapeutic measures for pleural cancer: Surgery, radiotherapy and Chemotherapy. These come into play either individually or in combination.

Surgery

Two procedures are available for the operation. In the so-called open pleurectomy with decortication (PE/DC) the pleura is peeled out. The tumor tie should be removed as completely as possible. The lung and the pleura remain intact.

With the so-called extrapleural pleuropneumonectomy (EPP) it is a more radical intervention. This involves removing the entire contents of the affected side of the chest (lung, pericardium, diaphragm, and pleura).

Radiotherapy

After a major operation, radiation therapy is usually prescribed for cancer. It is used to treat a local To reduce the risk of recurrence. Radiation therapy can also be used to relieve pain.

Chemotherapy

surgery is often combined with drug treatment. In this case, depending on the case, chemotherapy can before or after surgery occur.

Aftercare / Prognosis

The statistical figures for the survival rate of pleural cancer are depressing. According to this, the average survival time is between 9 and 17 months, depending on the situation. But there are always courses of the disease that deviate from the statistics.

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