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  • Mesothelioma

Mesothelioma Treatment | I D Cancer Center Lucknow

Overview

Mesothelioma is a rare and aggressive form of cancer that develops in the mesothelium, a thin protective lining covering the lungs, abdomen, heart, and testes.
The most common type is pleural mesothelioma, which affects the lining of the lungs.

Mesothelioma is strongly linked to asbestos exposure and often develops decades after exposure. Early diagnosis and specialized treatment significantly improve outcomes.

At I D Cancer Center, we provide comprehensive evaluation, high-precision radiotherapy, advanced chemotherapy, immunotherapy, and multidisciplinary care for all types of mesothelioma.


Types of Mesothelioma

1. Pleural Mesothelioma

Affects the lining of the lungs (pleura).
Most common (75–80% of cases).

2. Peritoneal Mesothelioma

Affects the lining of the abdomen (peritoneum).
Causes abdominal and digestive symptoms.

3. Pericardial Mesothelioma

Affects the heart lining (rare).

4. Testicular Mesothelioma

Extremely rare form affecting the testicular lining.


Causes & Risk Factors

The primary cause is asbestos exposure, usually through occupations such as construction, mining, insulation work, shipbuilding, and automotive industries.

Risk factors include:

  • Long-term asbestos exposure

  • Living with someone who works around asbestos

  • Age 50+

  • Male gender

  • Smoking (increases risk of complications but not directly the cancer)

  • Radiation exposure (rare cause)


Common Symptoms

Symptoms depend on the area affected.

Pleural Mesothelioma Symptoms

  • Shortness of breath

  • Persistent chest pain

  • Dry cough

  • Swelling of face/arms

  • Fatigue

  • Unexplained weight loss

Peritoneal Mesothelioma Symptoms

  • Abdominal swelling

  • Pain or bloating

  • Loss of appetite

  • Nausea or vomiting

  • Changes in bowel habits

Pericardial Mesothelioma Symptoms

  • Chest tightness

  • Irregular heartbeat

  • Difficulty breathing

Because symptoms are vague, many cases are diagnosed late. Early evaluation is crucial.


Diagnosis at I D Cancer Center

Accurate diagnosis requires a combination of clinical evaluation, imaging, and biopsy:

  • Detailed medical & occupational history

  • Chest X-ray

  • CT scan / MRI

  • PET-CT scan for disease staging

  • Biopsy (thoracoscopic, needle, or laparoscopic)

  • Fluid analysis (pleural or peritoneal)

  • Immunohistochemistry to confirm mesothelioma subtype

We work closely with thoracic surgeons, radiologists, and pathologists to ensure a precise diagnosis.


Treatment Options

Treatment depends on the tumor type, stage, and overall health.

1. Surgery

Performed in selected early-stage cases:

  • Pleurectomy/Decortication (P/D)

  • Extrapleural Pneumonectomy (EPP)

  • Cytoreductive surgery (for peritoneal mesothelioma)

2. Radiation Therapy

Highly effective for symptom relief and local control.
At I D Cancer Center, we offer precision techniques such as:

  • IMRT (Intensity-Modulated Radiotherapy)

  • IGRT (Image-Guided Radiotherapy)

  • VMAT (Rapid Arc Therapy)

These methods reduce side effects while targeting cancer accurately.

3. Chemotherapy

Common regimens include:

  • Pemetrexed + Cisplatin

  • Carboplatin-based combinations

Helps shrink tumors, control symptoms, and prolong survival.

4. Immunotherapy

A breakthrough option for many mesothelioma patients.
Drugs include:

  • Pembrolizumab

  • Nivolumab + Ipilimumab

Improves outcomes, especially in unresectable cases.

5. Targeted Therapy

Used in selected genetic or molecular subtypes.

6. Supportive & Palliative Care

Helps improve breathing, reduce pain, and enhance quality of life:

  • Pleural fluid drainage

  • Pain management

  • Nutritional support

  • Physiotherapy


Life With Mesothelioma

Patients benefit from ongoing monitoring and supportive services.
We provide:

  • Regular imaging follow-up

  • Symptom and pain management

  • Psychological and emotional support

  • Nutritional counselling

  • Smoking cessation support

  • Family and caregiver guidance

At I D Cancer Center, we focus on comfort, dignity, and hope.


Why Choose I D Cancer Center?

  • Expert oncology led by Dr. Sunil Kumar

  • Advanced PET-CT based evaluation

  • Precision radiotherapy (IMRT/IGRT/VMAT)

  • Access to immunotherapy and modern treatment protocols

  • Multidisciplinary tumour board

  • Patient-centered care with compassion

  • Convenient location in Sushant Golf City, Lucknow