How is mesothelioma treated?

Doctor and patient

Mesothelioma unfortunately can be very difficult to treat as it is usually discovered when at a more advanced stage.  The aims of most treatments are to control mesothelioma, keep you well and relieve symptoms.  The following treatments may be offered.

Surgery

Surgery may be offered for early stage mesothelioma to try remove it. However, it usually cannot get rid of it for good.  The aim of surgery is to try control the disease, relieve symptoms and to try keep you well for as long as possible.  Chemotherapy and radiotherapy are usually offered alongside surgery.

Pleurodesis

The build-up of fluid between the pleura can be removed during a thoracoscopy (pleural aspiration). During this treatment, your doctor can put medication into the pleura, causing scarring and preventing further build-up of fluid. This is known as pleurodesis. It will help you feel less breathless.

Radiotherapy

Radiotherapy is the use of high-energy rays to control symptoms and shrink the tumour. This treatment is quick and painless.  You may have radiotherapy after surgery to stop or delay the cancer returning.  It may also be used to reduce symptoms or to slow the growth of the tumour.

Chemotherapy

Chemotherapy is the use of cytotoxic drugs to control the symptoms of the disease or slow down the growth of the tumour.  You may have chemotherapy alongside surgery or radiotherapy.  The doctors will assess and discuss with you if you are well and fit enough to have chemotherapy.

Controlling symptoms

Mesothelioma can cause symptoms like breathlessness and pain. Let your medical team know if you have any symptoms so that they can help you. Some hospitals have pain specialists and breathlessness clinics. You may also be referred to the palliative care team, who are experts in managing symptoms. Read more about managing side-effects and symptoms. 

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