Introduction
Welcome to our guide on mesothelioma treatment at Mount Sinai. Mesothelioma is a rare type of cancer that affects the lining of the lungs, stomach, or heart. It is typically caused by exposure to asbestos, a mineral that was widely used in construction and manufacturing until the 1970s. Unfortunately, mesothelioma is often diagnosed at an advanced stage, which makes it difficult to treat.
At Mount Sinai, we offer a multidisciplinary approach to mesothelioma treatment, which combines surgery, chemotherapy, and radiation therapy. Our team of experienced doctors, nurses, and support staff work together to provide personalized care for each patient. In this guide, we will discuss the latest treatment options available at Mount Sinai and answer some common questions about mesothelioma.
What is mesothelioma and how is it caused?
Mesothelioma is a type of cancer that affects the lining of the lungs, stomach, or heart. It is caused by exposure to asbestos, a mineral that was widely used in construction and manufacturing until the 1970s. When asbestos fibers are inhaled or swallowed, they can become lodged in the lining of the lungs or other organs. Over time, these fibers can cause inflammation and scarring, which can lead to the development of cancer.
How is mesothelioma diagnosed?
Mesothelioma is often diagnosed through a combination of imaging tests, such as X-rays and CT scans, and biopsies, which involve taking a small sample of tissue for examination under a microscope. If a mesothelioma diagnosis is confirmed, further tests may be needed to determine the stage of the cancer and whether it has spread to other parts of the body.
What are the treatment options for mesothelioma at Mount Sinai?
At Mount Sinai, we offer a range of treatment options for mesothelioma, including surgery, chemotherapy, and radiation therapy. The specific treatment plan will depend on the stage of the cancer, the location of the tumor, and other factors. In some cases, a combination of treatments may be used to achieve the best possible outcome.
Surgery
Surgery is often used to remove as much of the tumor as possible. This can help to alleviate symptoms and improve quality of life. At Mount Sinai, we offer several types of surgery for mesothelioma, including:
- Extrapleural pneumonectomy (EPP): Involves removing the affected lung, as well as the lining of the lung, heart, and diaphragm.
- Pleurectomy with decortication (P/D): Involves removing the lining of the lung, but not the lung itself.
- Cytoreductive surgery with heated intraoperative chemotherapy: Involves removing visible tumors and applying heated chemotherapy directly to the affected area.
Chemotherapy
Chemotherapy uses drugs to kill cancer cells. It can be given orally or intravenously, depending on the specific drug being used. At Mount Sinai, we use several types of chemotherapy drugs to treat mesothelioma, including cisplatin, pemetrexed, and carboplatin.
Radiation therapy
Radiation therapy uses high-energy beams to kill cancer cells. It can be used alone or in combination with surgery and/or chemotherapy. At Mount Sinai, we offer several types of radiation therapy for mesothelioma, including:
- External beam radiation therapy: Involves directing high-energy beams of radiation at the tumor from outside the body.
- Brachytherapy: Involves placing radioactive sources directly into the tumor.
- Stereotactic body radiotherapy (SBRT): Involves delivering high doses of radiation to the tumor with pinpoint accuracy.
What is the prognosis for mesothelioma?
The prognosis for mesothelioma depends on several factors, such as the stage of the cancer, the location of the tumor, and the age and overall health of the patient. Unfortunately, mesothelioma is often diagnosed at an advanced stage, which makes it difficult to treat. However, with early detection and aggressive treatment, some patients are able to achieve long-term remission.
FAQs about Mesothelioma Treatment at Mount Sinai
Q: How long does mesothelioma treatment typically last?
A: The duration of mesothelioma treatment can vary depending on the specific treatment plan and the patient’s response to therapy. Treatment may last several months or longer, and regular follow-up appointments may be needed to monitor the patient’s progress.
Q: What are the side effects of mesothelioma treatment?
A: The side effects of mesothelioma treatment can vary depending on the specific treatment plan and the patient’s overall health. Common side effects of chemotherapy and radiation therapy may include nausea, fatigue, hair loss, and skin irritation.
Q: Is mesothelioma treatment covered by insurance?
A: Mesothelioma treatment is often covered by health insurance, but the specific coverage may vary depending on the type of insurance plan and the patient’s individual policy. Our billing and insurance team can work with patients to determine their coverage and assist with any financial concerns.
Q: Can mesothelioma be cured?
A: While there is no cure for mesothelioma, early detection and aggressive treatment can help to improve the prognosis and achieve long-term remission in some cases.
Q: Will I need to stay in the hospital during treatment?
A: Whether or not you need to stay in the hospital during mesothelioma treatment will depend on the specific treatment plan and the patient’s overall health. In some cases, hospitalization may be necessary to monitor the patient’s progress and manage any side effects of treatment.
Q: How often will I need to come in for follow-up appointments?
A: The frequency of follow-up appointments will depend on the specific treatment plan and the patient’s overall health. Our team will work with patients to develop a follow-up schedule that meets their individual needs.
Q: Can mesothelioma recur after treatment?
A: Mesothelioma can recur after treatment, even if the initial treatment was successful in achieving long-term remission. Regular follow-up appointments are important to monitor for any signs of recurrence.
Q: Will I be able to continue working during treatment?
A: Whether or not a patient is able to continue working during mesothelioma treatment will depend on the specific treatment plan and the patient’s overall health. Some patients may need to take time off work to focus on treatment and recovery. Our team can assist with any necessary paperwork and accommodations.
A: Mesothelioma-related pain can be managed through a combination of medication, physical therapy, and other supportive treatments. Our team will work with patients to develop an individualized pain management plan that addresses their needs and preferences.
Q: Does Mount Sinai offer clinical trials for mesothelioma treatment?
A: Yes, Mount Sinai offers several clinical trials for mesothelioma treatment. Clinical trials are research studies that test new treatments or procedures in patients. Our team can discuss the available options and help patients decide if a clinical trial is right for them.
Q: Can mesothelioma affect other organs besides the lungs, stomach, and heart?
A: Yes, mesothelioma can affect other organs in rare cases. The most common sites of mesothelioma are the lining of the lungs, stomach, and heart, but it can also occur in other parts of the body, such as the testicles or ovaries.
Q: How can I reduce my risk of developing mesothelioma?
A: The best way to reduce the risk of developing mesothelioma is to avoid exposure to asbestos. If you work in an industry that uses asbestos, it is important to follow all safety guidelines and wear proper protective equipment. If you are concerned about possible asbestos exposure, talk to your doctor about screening options
.
Q: How can I support a loved one with mesothelioma?
A: Supporting a loved one with mesothelioma can involve a range of practical and emotional tasks, such as helping with transportation to appointments, providing emotional support, and assisting with household chores. Our team can provide resources and guidance for caregivers who are supporting someone with mesothelioma.
Conclusion
At Mount Sinai, we are committed to providing the highest quality care for patients with mesothelioma. Our multidisciplinary approach to treatment combines the latest surgical, chemotherapy, and radiation therapy options to achieve the best possible outcomes. We understand that a mesothelioma diagnosis can be overwhelming, which is why we work closely with our patients and their families to provide personalized care and support. If you or a loved one has been diagnosed with mesothelioma, please don’t hesitate to contact us to learn more about your treatment options.
Take Action Today
If you or someone you love has been diagnosed with mesothelioma, it is important to seek treatment as soon as possible. Contact Mount Sinai today to schedule a consultation with our team of experienced doctors and support staff.
Disclaimer
The information in this guide is intended for educational purposes only and should not be used as a substitute for medical advice or treatment. The specific treatment options and outcomes for mesothelioma may vary depending on the individual patient’s condition and other factors. Please consult with a qualified healthcare provider for personalized advice and guidance on your specific situation.
| Mesothelioma Treatment Options | Advantages | Disadvantages |
|---|---|---|
| Surgery (EPP) | Offers the potential for long-term survival | Major surgery with significant recovery time and risk of complications |
| Surgery (P/D) | Can reduce symptoms and improve quality of life | May not be an option for all patients |
| Surgery (Cytoreductive) | Can offer improved outcomes compared to other surgical options | Major surgery with significant risks and side effects |
| Chemotherapy | Can shrink tumors and improve survival | Can cause significant side effects |
| Radiation therapy | Can reduce tumor size and alleviate symptoms | Can cause skin irritation and other side effects |
