Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
There are three recognized mesothelioma cell types. Between 50% and
70% of all mesotheliomas are of the epithelial variety. While prognosis is
generally poor, it is considered less aggressive than sarcomatoid
mesothelioma and biphasic mesothelioma, which comprise the remainder
of cell-type diagnoses.
The cavities within the body encompassing the chest, abdomen, and heart
are surrounded by a membrane of cells known as the mesothelium.
Mesothelial cells assist in general organ functions. The mesothelium is
particularly important to organs that are commonly in motion, such as
expansion or contraction of the lungs, stomach, or heart. Lubrication from
the mesothelial cells allows free range of motion within the body. The
mesothelium of the chest, abdomen, and cardiac cavity are called the
pleura, the peritoneum, and the pericardium, respectively. Each of these
groupings of mesothelial cells is extremely critical to the functions of the
body structures which they encompass.
Malignancies (cancerous tumors) occurring within the mesothelial
membranes are known as malignant mesothelioma, or simply
mesothelioma. Benign tumors of the mesothelium are known to occur, but
are much more rare than malignant mesothelial tumors.
While tumors of the mesothelium were first recognized in the late 18th
century, it was not until the middle of the 20th century that this particular
cancer was studied and examined with more detail. It was at this time when
suspicions of the cancers causal relationship with asbestos
exposure became more substantiated. A joint research venture through the
Department of Thoracic Surgery at the University of the Witswater and
Johannesburg General Hospital in South Africa provided the most
compelling evidence of the nexus between asbestos exposure and the
development of pleural mesothelioma.
Incidence of mesothelioma is still quite rare, with only 2,500-3,000
diagnoses in the United States each year. There was a spike in reported
diagnoses between 1970 and 1984, which has been attributed to the
latency period between diagnosis and the height of industrial exposures,
which occurred roughly 40-60 years prior to this time. While exposure was
common in nearly all industries, it was particularly prevalent in the WWIIera military industrial cycle, including navy shipyards.
Although this cancer is much more common in men over the age of 60
(largely attributed to the industrial exposures within male-dominated
industries), mesothelioma in women and children has been documented as
well.Mesothelioma causes for diagnosis in women and children are mainly
attributed to secondary exposure to asbestos, as it was not uncommon for
men to bring asbestos back into the home on their bodies or articles of
clothing if proper cleaning facilities were not available on site.
chest pain, chronic cough, effusions of the chest and abdomen, and the
presence of blood in lung fluid.
Diagnostic surgeries, including a biopsy, will typically be required to
determine the type of malignant cells that are present in the body. Typically
a body imaging scan, including a magnetic resonance image (MRI),
computer topography (CT scan), and/or positron emission tomography
(PET), will be required to determine the extent and location of the disease.