Mesothelioma Diagnosis :
Since symptoms of mesothelioma is non-specific, meaning these symptoms could be
associated with other forms of diseases, diagnosing this form of cancer is often
not easy. Due to lack of awareness of this fatal form of cancer a timely
diagnosis cannot be accomplished. Unfortunately, mesothelioma is mistaken for
other forms of diseases since mesothelioma symptoms mimic those of more common
conditions. For instance, leural mesothelioma could be mistaken for pneumonia or
peritoneal mesothelioma might be qualified as a common bowel disorder.
Because the latency period, diagnosing mesothelioma immediately is not always
possible. Symptoms of this form of cancer only appear after 30 to 50 years after
exposure to asbestos.
When symptoms are already at the onset it is important that the patient
immediately checks with a physician. A detailed enumeration of symptoms and
experiences of pain must be done. He or she must also share his case history of
work experience or if possible, share the case history of those he/she has
resided with. This must be done to check if the patient was exposed to asbestos.
The doctor must also find out the timeframe of exposure.
The doctor will ask the patient to subject himself to a series of tests. Some of
which are the following:
X-RAYS
This is the preliminary step in diagnosing mesothelioma. When a doctor suspects
mesothelioma in the lungs he would advise the patient to get a chest x-ray.
X-rays cannot normally show mesothelioma but it can show the following: pleural
effusions (or collection of fluid around the lung), pleaural thickening
(thickening of the lining of the lung) and pleural based masses (masses
extending from the lung lining). A person suspected with peritoneal mesothelioma
will be asked to get an abdominal x-ray.
CT SCAN (Computed Topography)
This type of scan is especially useful in determining the location, size and
extent of mesothelioma. This gives a more detailed picture of the insides of the
body compared to x-rays. Combining x-rays and computers, CT scans has a rotating
beam that takes a series of pictures of the body in different angles. This scan
allows the radiologist to have a clearer view of the lungs and pleura.
MRI (Magnetic Resonance Imaging)
This machine uses a strong magnetic field, radio waves to scan the body. No
radiation is involved in this type of test. A computer is used to generate the
images of selected areas of the body. This test is used to determine ‘soft
tissues’ in the body and it can show the extent of mesothelioma. It is
considered to be quite clear and more superior to routine x-rays.
PET SCAN (Positron Emission Tomography)
It uses cameras and tracers that produces powerful images of the body’s
biological functions. Cancers process sugars at a very high metabolic rate. PET
scans are able to indicate abnormal metabolic activity and can identify exact
locations of the diseases. It can also detect small cancer cells, indicate
whether it’s benign or malignant. Furthermore, it can determine if therapies are
actually working.
BIOPSY
A pathologist is performing biopsy when tissue samples are obtained from areas
of the body where cancer is suspected. These samples are examined under a
microscope. There are different types of biopsies.
Thorascopy is done when pericardial tumor is detected. Tissue samples are
obtained from the chest cavity. When samples are obtained from the abdomen using
an instrument called peritoneoscope, it is called peritoneoscopy. Pleural
mesothelioma biopsies are called bronchoscopy.