Mesothelioma—Pneumonectomy and Extrapleural Pneumonectomy
Mesothelioma is a form of cancer affecting the membrane that covers and protects various internal organs of the body (mesothelium). The mesothelium comprises two layers of particular cells known as mesothelial cells. One layer directly surrounds an organ forming a protective sac, while the other lines body cavities, providing oil like lubrication within the body. The most common type of mesothelioma cancer affects the membrane, or sac, lining the lungs (pleura). Other, less common areas include the membrane of the stomach (peritoneum) and the membrane lining the heart (pericardium).
A pneumonectomy is a surgical removal of an entire lung and is used as a cancer treatment. Pneumonectomy may fall into one of two categories: traditional pneumonectomy, resulting in the removal of the diseased lung and extrapleural pneumonectomy, involving removal of the diseased lung as well as areas of the diaphragm and other tissues.
Extrapleural pneumonectomy is typically determined as a surgery of last resort with a goal of eradicating a majority of the cancer cells. Surgeons usually only perform this type of surgery on patients who are in the early stages of mesothelioma cancer, before the cancer has a chance to metastasize, spreading to lymph nodes or invading surrounding tissues and organs. Extrapleural pneumonectomy surgery candidates typically need to be in relatively good health — with good lung and heart function — because removal of an entire lung will increase strain on the heart and remaining lung. They also usually need to be strong and healthy enough to withstand the demands of major surgery and the healing it will require.
In some cases, diagnosis of mesothelioma cancer does not occur until a patient reaches a critical Stage 3 or 4, reducing the chances for this type of treatment. For those who are eligible, extrapleural pneumonectomy may slow or halt the progression of the disease, help ease breathing and improve quality of life. Extrapleural pneumonectomy patients treated with a combination of extrapleural pneumonectomy, radiation and chemotherapy may experience increased life spans of months or, in some cases, years.
Tags: contracting mesothelioma, diagnosed with mesothelioma, mesothelioma, mesothelioma surgery, mesothelioma treatment, pleural mesothelioma