Mesothelioma is cancer of the mesothelium, a protective membrane that lines most of the body's internal organs. Three out of every four cases cases of mesothelioma disease begin in the pleural mesothelium of the chest cavity. Mesothelioma can also begin in the abdominal cavity and around the heart.
Regardless of where they originate, malignant cells from the mesothelium can invade and damage nearby tissues. Cancer cells can also metastasize, or spread, to other parts of the body.
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Oftentimes, pleurisy's distinctive pain when inhaling is an important clue to your doctor. In addition, your doctor will listen to your chest with a stethoscope as you breathe. This exam may reveal a pleural friction rub -- the abrasive sound of the pleura's two layers sliding against each other.
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Often by the time mesothelioma is diagnosed, the disease is advanced. The five-year survival rate is around 5% to 10%. Most patients with mesothelioma die as a result of respiratory failure or pneumonia. Some patients develop a small-bowel obstruction when a tumor extends through the diaphragm. A smaller number die of cardiac complications when the tumor invades the pericardium -- the thin membrane that surrounds the heart -- and the heart itself.
Mesothelioma is a relatively rare form of cancer. About 3,000 new cases of the disease are diagnosed in the U.S. each year.
Causes of Mesothelioma
The main risk factor for mesothelioma is working with asbestos. Asbestos is a group of minerals with thin microscopic fibers. Because these fibers are resistant to heat, fire, and chemicals and do not conduct electricity, asbestos has been mined and used widely in the construction, automotive, and other industries.
If tiny asbestos fibers are released into the air, as they are in the manufacturing process, they can be inhaled or swallowed, leading to serious health problems. As many as 75% of mesothelioma cases can be linked to exposure to asbestos at work. There is also some evidence that family members and others living with asbestos workers have an increased risk of developing mesothelioma, and possibly other asbestos-related diseases. This risk may be the result of exposure to asbestos dust brought home on the clothing and hair of asbestos workers. Cases of mesothelioma have also been seen in people living close to asbestos mines.
However, mesothelioma has been reported in some individuals without any known exposure to asbestos. Other, uncommon, but possible causes include: