STAGES OF MESOTHELIOMA

Staging is the process of finding out how far the cancer has spread. Staging of mesothelioma is based on imaging studies such as x-rays, CT scans, and MRI scans. The treatment and outlook for patients with mesothelioma largely depends on the stage (extent of spread) of their cancer. Since pleural mesothelioma occurs most frequently and has been studied the most, it is the only mesothelioma for which a staging classification exists.

The staging system most often used for mesothelioma is the Butchart system. This system is based mainly on the extent of the primary tumor mass, and divides mesotheliomas into stages I through IV.
Butchart Staging System

* Stage I: Mesothelioma is present within the right or left pleura, and may also involve the lung, pericardium, or diaphragm (the muscle separating the chest from the abdomen) on the same side.
* Stage II: Mesothelioma invades the chest wall or involves the esophagus (food passage connecting the throat to the stomach), heart, or pleura on both sides. The lymph nodes in the chest may also be involved.
* Stage III: Mesothelioma has penetrated through the diaphragm into the peritoneum (lining of the abdominal cavity). Lymph nodes beyond those in the chest may also be involved.
* Stage IV: There is evidence of distant metastases (spread through the bloodstream to other organs).

Another staging system has recently been developed by the American Joint Committee on Cancer (AJCC). This is a TNM system, similar to staging systems used for most other cancers. T stands for tumor (its size and how far it has spread to nearby organs), N stands for spread to lymph nodes and M is for metastasis (spread to distant organs). In TNM staging, information about the tumor, lymph nodes, and metastasis is combined in a process called stage grouping to assign a stage described by Roman numerals from I to IV. Minor differences exist between the AJCC TNM staging system and the Butchart staging system.
TNM Staging System

* Stage I: Mesothelioma involves the right or left pleura. It may also have spread into the lung, pericardium, or diaphragm on the same side. It has not yet spread to the lymph nodes.
* Stage II: Mesothelioma has spread from the pleura on one side to the nearby peribronchial and/or hilar lymph nodes next to the lung on the same side. It may also have spread into the lung, pericardium, or diaphragm on the same side.
* Stage III: Mesothelioma has spread into the chest wall muscle, ribs, heart, esophagus, or other organs in the chest on the same side as the primary tumor, with or without spread to subcarinal and/or mediastinal lymph nodes on the same side as the main tumor. Subcarinal nodes are located at the point where the windpipe branches to the left and right lungs. Mediastinal lymph nodes are located in the space behind the chest bone in front of the heart. Mesotheliomas with the same extent of local spread as in stage II that have also spread to subcarinal and/or mediastinal lymph nodes on the same side are also included in stage III.
* Stage IV: Mesothelioma has spread into the lymph nodes in the chest on the side opposite that of the primary tumor, or directly extends to the pleura or lung on the opposite side, or directly extends into the peritoneum, or directly extends into organs in the abdominal cavity or neck. Any mesothelioma with evidence of distant metastases (spread to other organs through the bloodstream) or spread to organs beyond the chest or abdomen is included in this stage.

Although the recently developed TNM classification is the most detailed and precise, the original Butchart staging system is still used most often to describe the spread of pleural mesotheliomas. Understanding these staging systems for mesothelioma is important both for estimating and better understanding prognosis, and also for assessing therapeutic options.
Prognostic Factors

Because pleural mesothelioma has been better studied than peritoneal mesothelioma we know more about factors associated with prognosis for pleural mesothelioma. Younger age at diagnosis, performance status (functional status) and absence of weight loss are associated with a more favorable prognosis.

Mesotheliomas are usually of three different cell types (histological analysis): 1) epithelial cell type - has the most favorable prognosis; 2) fibrosarcomatous cell type - carries the worst prognosis and 3) mixed cell type - has an intermediate prognosis.
If you have any questions regarding your legal rights, please contact us.

Mesothelioma Treatment

Once an individual has been diagnosed with mesothelioma, the next step is to discuss mesothelioma treatment options with his/her physician. Recent scientific research has produced significant breakthroughs with regard to treatment protocols for mesothelioma patients and more options are now available for managing the disease and supporting improved quality of life. Newly diagnosed patients always have many questions about the treatment options that would be most effective for them, including questions about new treatment therapies like Alimta and Cisplatin and other chemotherapy drugs. In addition to these newer drugs that are being used to treat asbestos cancer, mesothelioma patients also have a number of "conventional" treatment options to consider, including chemotherapy, radiation therapy and surgery. Clinical trials and experimental treatments are still other options that some mesothelioma patients may be eligible to participate in. Our site features a comprehensive mesothelioma cancer treatment section that includes important information for patients and families. We’ve included resources on top mesothelioma doctors such as Dr. Sugarbaker, as well as a comprehensive list of questions that you may wish to discuss with your personal physician when preparing a treatment plan. We are always providing new and informative resources regarding mesothelioma treatment including: Clinical Trials, conventional treatments, experimental therapies, and more. Check back often for the most recent advances in mesothelioma treatments.

Mesothelioma Law Information

The history of asbestos and mesothelioma law goes back to more than 1980 since, the time since asbestos dangers were discovered. Mesothelioma laws were made to protect people from this deadly cancer and to punish the companies who deliberately exposed their workers to asbestos even after knowing its dangers.

The mesothelioma law states that if you have been knowingly exposed to asbestos or if you have lost someone to an asbestos related disease, you have a right to seek compensation and bring to justice the people responsible for your loss. While the monetary compensation will not relieve the anguish and pain of the disease, it will at least ease the financial burden of your medical bills and expensive treatment and improve the quality of life for you and your loved ones.

Mesothelioma is a 100% preventable disease. However, it was due to the careless and greedy nature of some people who did not care for general health and endangered innocent lives for personal gain. This includes people who manufacture, sell, supply and exfoliate asbestos at processing plants.

Working or dealing with asbestos without any safety measures leads to inhalation of asbestos by large number of people living or working in the vicinity. When inhaled, the particles and dust released from asbestos can settle in the lining of stomach, heart and lungs and cause malignant Mesothelioma, a rare cancer only caused by asbestos exposure.

Being a preventable cancer, the sole responsibility of the occurrence and spreading of Mesothelioma lies on people who handle the asbestos industry. Thus, mesothelioma laws hold such people accountable for several lives that have fallen victim to this deadly disease and demands justice from them.

Filing a Mesothelioma Case

Filing a Mesothelioma case can be a difficult decision. Before filing a case, you need to be fully aware of your legal rights so that when you file the case, you emerge victorious.

If you know for sure that mesothelioma laws were violated and you and your loved one were knowingly exposed to asbestos which caused cancer, you have the right to file a mesothelioma case. For this you need to know exactly how or when you were exposed to asbestos.

Before filing the case, you need to see an attorney and work towards strengthening your case to make sure that you are protected by mesothelioma legal rights. Your mesothelioma legal rights enable you to seek compensation from the people responsible for your situation. Filing a lawsuit on behalf of a family member who has lost his/her life due to the disease may pose some limitations on your rights.

To get information regarding mesothelioma and asbestos and get justice, you should seek a mesothelioma attorney as soon as you are diagnosed with the disease. Family members of a deceased Mesothelioma patient can also file for compensation for their personal loss. Laws and procedures for each kind of case differ and it is only after consulting a professional lawyer that you should file a lawsuit to get justice for your suffering and loss.

How is Mesothelioma Treated?

Mesothelioma is an aggressive cancer but can be managed with chemotherapy, radiation therapy, and surgery. Currently, there is no known cure for asbestos cancer but several mesothelioma treatment regimens have proven to be successful in helping the patient avoid pain and discomfort caused by the disease. Several therapies have emerged in recent years that have extended survival rates to levels previously thought to be impossible. Cancer centers have initiated hundreds of clinical trials in recent years to help mesothelioma patients find a therapy that works for them while still working towards a cure for future patients. Progressive therapies are now being developed through the International Mesothelioma Program under the direction of thoracic specialist Dr. David Sugarbaker.

How is Mesothelioma Diagnosed?

Malignant mesothelioma can be difficult to diagnose because symptoms of the disease often closely mimic those of less serious conditions. It will often require X-ray and other body scans (CT or MRI) in addition to a biopsy to conclusively diagnose mesothelioma. Nevertheless, those experiencing chronic cough, difficulty swallowing, chest pain, or breathing difficulties should alert their physician immediately. This is particularly true among those with a known asbestos-exposure history. Those with asbestos exposure history should communicate this to their physician even before symptoms appear so that they may be able to alert patients to warning signs of the disease. If detected early enough, patients may be eligible for aggressive treatment options, including surgical resection of the mesothelioma cancer and affected tissue. Oncologists and thoracic specialists will be able to assist the patient in determining the extent of the disease and the best treatment options for that particular patient.

Who Gets Mesothelioma?

Statistics show that, because of their work history, the disease most often affects men between the ages of 50 and 70 who were employed in an asbestos-laden environment before asbestos warnings and bans were in place in the 1970s. Though women still have a much lower frequency of the disease, cases of second-hand exposure to asbestos has prompted more diagnoses among women, especially those whose male family members worked with asbestos. The occupations most associated with mesothelioma are shipyard workers, electricians, plumbers, construction industry workers, pipefitters, boilermakers, and anyone subject to heavy exposure to dangerous asbestos and airborne asbestos fibers.

An abundance of cases have also demonstrated that mesothelioma can develop among people who lived in communities where asbestos factories or mines were located. In some instances, entire towns have been adversely affected by the presence of asbestos fibers in the air. For example, in Libby, Montana - site of a former vermiculite asbestos mine - hundreds have already died of mesothelioma.

Though still significantly rarer than other cancers, an estimated 2,000 to 3,000 new cases of mesothelioma are diagnosed each year in the United States. Other countries, notably the United Kingdom and Australia, report a much higher incidence of the disease. Nevertheless, the United States - like many other countries - has seen an increase in asbestos-caused cancer as men who worked in U.S. shipyards in the 1940s and 1950s, at the height of production, are now being diagnosed with mesothelioma.

Mesothelioma Lawyers - Important Information for Patients

Deciding to pursue legal recourse and selecting an attorney to represent you in a mesothelioma or asbestos lawsuit are important decisions that should be made carefully. I have seen some families receive $500,000 and others be awarded nearly $30 million. I have seen some lawyers reject a case only to have another firm accept it and make a big success of it. And I have seen some families wait nearly three years to receive their first check while others received large checks within three months of filing a claim. The main reasons for these differences are the facts of the patient's situation and the law firm chosen.

The Facts of Your Situation

Some mesothelioma patients know they worked around asbestos, but many do not know how they were exposed or how often. In fact, many people are not sure if they were ever near this carcinogen. Unfortunately, there have been thousands of products that contained asbestos - cigarette filters, hair dryers, brakes, basement and roof materials, pipes, boilers, insulation, and many other products found throughout the home and at work. If you were diagnosed with mesothelioma it is more than likely that you were exposed to asbestos multiple times in your life and that this happened decades before your diagnosis.

In general, the value of your case depends on how many asbestos containing products you were exposed to, the number of identifiable defendants that still exist (many have declared bankruptcy), your age and earning capacity. And the speed of your case can depend on a number of variables including the state where you worked and lived when you were exposed to asbestos.

The Law Firm You Choose

When you have been given the news about this terrible disease, you may not feel that you have the time to deal with the legal questions - Should I talk to a lawyer? Should I file a claim? However, you should not wait too long to learn about your legal rights for at least three reasons:

1. Statutes of Limitations - There are statute of limitations which means you only have a limited time to file your case after diagnosis. The statute of limitations time period is set by individual states and varies. The clock usually starts ticking on the day of diagnosis.
   
   
2. Financial Pressure - A mesothelioma diagnosis can bring financial stress, less income, more expenses, and treatments that are not covered by insurance. Knowing that money may be on the way from filing a claim can bring financial relief.
   
   
3. Lawyers Can be Excellent Resources - The more experienced mesothelioma lawyers and law firms can often be excellent sources of information about various doctors and treatment options available for this disease.

But, picking a lawyer is serious business and you should not use TV ads as the reason to hire an attorney. Actual credentials are what counts. For example, what type of accomplishments has the law firm achieved? How committed are they to mesothelioma/asbestos cases? Are these cases a substantial part of their practice or just a small piece? How many other cases like yours have they handled?

Also, make sure you understand the fees being charges. Contingency is the term that means that the lawyer gets paid only after they collect money for you. The amount of the contingency fee that your lawyer can charge varies and is usually between 33% and 40%. It is important to discuss fees openly, ask what services they cover, how they are calculated, and whether there will be any extra charges.

Finally, for something as important as a mesothelioma lawsuit, your attorney should not only be experienced, skilled, and dedicated, but also a trusted partner who understands that your health needs always take precedence. The best lawyers are those that are not only expert at what they do, but are also caring, supportive, thoughtful and compassionate.