mesothelioma surgery: Treating

Part 1 of 9 in a series of videos defining some of the rare types of cancers the physicians at Marshfield Clinic and staff at Ministry Health Care - St. Joseph's Hospital in Marshfield, WI. In this segment William Hocking MD at Marshield Clinic introduces two patients who have been diagnosed with rare cancer types. He will also introduce Kristen Gerndt, MD, interventional radiologist, Sonjoy Saha, MD, surgical oncologist, and Seth Fagbemi, MD, hematologist/medical oncologist. The first patient is diagnosed with hepatocellular carcinoma, unresectable. The treatment for this disease is trans-catheter arterial chemoembolization and is performed by Gerndt. The second patient's diagnosis is peritoneal mesothelioma. The treatment, performed by Saha, is cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC). To view webcast in its entirety please visit www.marshfieldclinic.org

http://www.youtube.com/watch?v=kljQ0Pz6ZjU&hl=en

As with any cancer, treatment for Mesothelioma depends on the location of the cancer, the progression of the disease, the age as well as state of health of the patient.

It is the oncologist who specializes in the disease who will decide on the line of treatment. The disease is difficult to treat and in most cases the prognosis is poor. Treatment options include:

1. If the diagnosis is done in the early stages surgery may be recommended to remove all cancerous tissues. This means thoracoscopy, VATS or video assisted thoracic surgery, mediastinoscopy (used for staging), or laproscopy. Often, doctors will advise palliative procedures like chest tube drainage and pleurodesis, thoracoscopy and pleurodesis, pleuroperitonial shunt, or pleurectomy, which treat the symptoms of mesothelioma rather than the disease.

2. Radiation is prescribed aggressively for mesothelioma patients and is often given in combination with surgery or in order to control symptoms, palliatively. Research on using radiation therapy using implants or UV light therapy is in progress as traditional radiation therapy damages surrounding healthy tissue.

3. Chemotherapy is an option and around 12-20% of patients respond to the drugs. Anti-cancer drugs destroy cancer cells and prevent their spread. In mesothelioma, chemotherapy is not considered to be curative. The aim is to prevent spread of the disease; shrink the tumor prior to surgery, known as neoadjuvant therapy; to annihilate any remains of the tumor in the body post surgery; and to relieve pain and other discomfort, palliative chemotherapy. Experts recommend prescribing premetrexed along with cisplastin. These drugs have shown positive results and this is now standard care for Mesothelioma not treatable by surgery.

4. Biological therapy using interleukin 2.

5. Immunotherapy where the body's own immune system is stimulated to fight the disease. Biological response modifiers, BRMs, are used in treatment. These enhance the functions of the immune system; regulate metabolic reactions that promote growth of cancers; alter cancer cell division; block or reverse processes that lead to formation of cancers; and prevent spread of cancer.

6. Gene therapy, where attempts are made to correct the gene sequence that causes the cancer. This is of two kinds, replacement gene therapy and knockout gene therapy.

7. Administration of lovastatin, a cholesterol lowering drug.

8. Photodynamic treatment where a photosensitive medication is activated using a laser. This is done during the surgical removal of cancerous tissues.

9. Draining of fluid in the chest or abdominal cavity followed by introduction of medications into the cavity to prevent fluid accumulation is done for patients who have uncontrolled fluid accumulation and intense discomfort stemming from it.

10. Combination therapy or Trimodal therapy which means surgery accompanied by radiation and chemotherapy.

Often, complementary medicines are also used. Termed to be holistic this kind of treatment focuses on a patient's physical, mental, emotional, and spiritual well being.

In the case of Mesothelioma which is untreatable one can opt for clinical trials of new treatments that are in progress in several research laboratories and centers. The best advice on the line of treatment would be that recommended by the oncologist or physician.

Paul Wilson is a freelance writer for http://www.1888Discuss.com/health/ , the premier REVENUE SHARING discussion forum for Health Forum including topics on health care, Children's Health Issues, addiction, Cancer, fitness equipment, Burns & Injuries and more. His article profile can be found at the premier Health Article Submission Directory http://www.1888Articles.com/health-articles-8.html

mesothelioma surgery

Monday, February 28, 2011

Treating Rare and Complex Cancers Part 1

Tuesday, January 4, 2011

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Sunday, November 28, 2010

Treating Peritoneal Mesothelioma