Wednesday, February 9, 2011

Mesothelioma Detection Informations


Mesothelioma timely detection is imperative People who are exposed to asbestos dust more often are vulnerable to get the deadly disease, mesothelioma. The disease bring about nasty cells in the epithelium originating in the embryonic mesoderm - the inner membrane that overlies the internal organs of the body.
Generally, Mesothelioma harms the interiorcovering of the pectus wall and the lungs. It could also affect the peritoneum - the inner membrane of the stomach and the serosa that shields the heart and tunica vaginalis.

Those employed in asbestos interrelated manufacture companies are the mainly in jeopardy and have showed the largest amount of mesothelioma affected people. Furthermore, families who have a member or individuals working in these sorts of companies are as well affected by the disease as they often come in contact with asbestos particles when they clean their wearing apparel or from lots of other activities that expose them to asbestos particles.

Despite the fact that there will be a high possibility of getting mesothelioma with inhaling smoke from cigarettes, it is not directly connected with smokers. Nonetheless, lung cancers are most striking illness among smokers whereas mesothelioma assails simply those who have relations with asbestos associated treatment or by way of their family members. People who live in close proximity to these factories are as well in danger of getting mesothelioma as others. Individuals who have a medical condition with mesothelioma will not reveal signs and symptoms of the illness in its premature stages. This is why it is very hard to detect it at the early phase and by the time it is detected, it can be by then too overdue to treat them.

The indications and symptoms consist of chest pains, weight reduction and difficulty breathing still they could be different according to the conditions of the patients. CT scan, X-ray and tissue specimen are the analyzing techniques performed on a patient to shed light on if mesothelioma is the issue. The tissue specimens are obtained by inserting a camera with a conduit to the affected regions and these tissue specimens are directed for microscopic study. Timely sighting of the disease assists medical practitioners to apply effective cures to diminish the effects.
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Mesothelioma And Epithelial Differentiation


One interesting study is called, “Proteoglycans in human malignant mesothelioma. Stimulation of their synthesis induced by epidermal, insulin and platelet-derived growth factors involves receptors with tyrosine kinase activity” – Biochimie Volume 81, Issue 7, July 1999, Pages 733-744 – by Alexandra Syrokoua, George N. Tzanakakisb, Anders Hjerpeb and Nikos K. Karamanosa - Department of Chemistry, University of Patras, 261 10 Patras, Greece. Here is an excerpt: “Abstract - Identification of proteoglycans in two human malignant mesothelioma cell lines, one with epithelial differentiation and the other with fibroblast-like phenotype, and the effects of epidermal (EGF), insulin-like (IGF-I) and platelet-derived (PDGF-BB) growth factors on the synthesis of hyaluronan (HA) and proteoglycans (PGs) were studied. Both cell lines synthesize HA and PGs: these last were recovered both as secreted and cell-associated compounds. Chondroitin sulfate (CS) containing PGs are mainly organized as versican in the extracellular medium and as thrombomodulin and syndecan in the cell membrane. Heparan sulfate (HS) containing PGs are mainly in the form of perlecan in the culture medium, whereas cell-associated HSPGs were recovered mainly as syndecan-1, -2 and -4. Receptors for EGF, IGF-I and PDGF-BB were identified in both cell lines. In addition to cell proliferation, these growth factors stimulated the synthesis of HA and PGs, the pattern of stimulation being unique for each of them and depending on the cell phenotype. EGF increased the synthesis of HA and PGs. IGF-I showed similar stimulatory effects on the synthesis of CSPGs, whereas higher amounts were needed to influence the synthesis of HA and HSPGs, the latter only being stimulated in the epithelial cell line. PDGF-BB stimulated the synthesis of HA, HSPGs and CSPGs at low concentrations, while the stimulatory effect was abolished at higher levels. Incubation with genistein inhibited the HA and PG synthesis induced by growth factors in a mode depending on both growth factor and genistein concentrations. The results clearly suggest that the stimulatory effects of EGF, IGF-I and PDGF-BB on matrix synthesis, expressed as proteoglycan synthesis, are mediated via receptor-growth factor complexes and the protein tyrosine kinase intracellular pathway.
Another study is called, “Value of E-cadherin and N-cadherin immunostaining in the diagnosis of Mesothelioma” by ORDONEZ Nelson G. 2, Allée du Parc de Brabois F-54514 Vandoeuvre-lès-Nancy – Cedex France. Here is an excerpt: “Abstract - Distinguishing between epithelioid mesothelioma and pulmonary adenocarcinoma involving the pleura can be difficult on routine histological preparations. This differential diagnosis can be greatly facilitated by using immunohistochemical markers. E-cadherin and N-cadherin are among the newly described markers that have been proposed as potentially useful in the diagnosis of mesothelioma. E-cadherin and N-cadherin are members of the cadherin family of calcium-dependent cell adhesion molecules that play an important role in the embryogenic development and maintenance of normal tissue. Although several investigations have indicated that immunostaining for these markers can be useful in discriminating between mesotheliomas and adenocarcinomas, others have not confirmed this observation. In an attempt to resolve this controversy, the present study investigated 31 epithelioid mesotheliomas and 29 pulmonary adenocarcinomas for E-cadherin and N-cadherin expression using the 5H9, HECD-1, and clone 36 anti-Ewadherin antibodies, and the 3B9 and clone 32 anti-N-cadherin antibodies. Among the mesotheliomas, 68% reacted with the clone 36, 52% reacted with the HECD-1, and 19% reacted with the 5H9 anti-Ecadherin antibodies, and 74% reacted with the 3B9 and 71% reacted with the clone 32 anti-N-cadherin antibodies. Of the adenocarcinomas, 93% stained with the done 36, 90% reacted with the HELD-1, and 90% reacted with the 5H9 anti-Ecadherin antibodies, 45% reacted with the clone 32 and 34% reacted with the 3B9 anti-N-cadherin antibodies. Based on the frequent strong reactivity with adenocarcinomas but not with mesotheliomas, it is concluded that only the 5H9 anti-Ecadherin antibody may have some utility in discriminating between epithelioid pleural mesotheliomas and pulmonary adenocarcinomas. The causes of the disparate results reported in the literature on the value of E-cadherin and N-cadherin immunostaining in distinguishing between mesotheliomas and pulmonary adenocarcinomas are unclear, but a significant factor appears to be differences in the reactivity of the antibodies used.”

Another study is called, “The value of Wilms tumor susceptibility gene 1 in cytologic preparations as a marker for malignant Mesothelioma” by Jonathan L. Hecht M.D., Ph.D., Benjamin H. Lee M.D., Ph.D., Jack L. Pinkus Ph.D., Geraldine S. Pinkus M.D., - Cancer Cytopathology Volume 96, Issue 2, pages 105–109, 25 April 2002. Here is an excerpt: “Abstract - It has been shown that detection of the Wilms tumor susceptibility gene 1 protein (WT1) has diagnostic utility in the distinction of mesothelioma from adenocarcinoma in tissue sections of pleural tumors. This immunohistochemical study evaluates the effectiveness of WT1 as a marker for malignant mesothelioma in paraffin sections of cell block preparations derived from effusion specimens. METHODS The authors evaluated 111 cell blocks for WT1 immunoreactivity, including 14 mesotheliomas and 97 metastatic adenocarcinomas from various sites. RESULTS Nuclear reactivity for WT1 was observed in all samples of mesothelioma. However, only 22 of 97 samples (23%) of metastatic adenocarcinoma, nearly all of which were of ovarian origin (91%), exhibited nuclear reactivity for WT1. In 14 other samples (most of pulmonary derivation), WT1 staining restricted to the cytoplasm was observed for some tumor cells and was regarded as nonspecific. CONCLUSIONS - Based on this staining profile, WT1 represents an effective marker for mesotheliomas in cell block preparations and can aid in its distinction from pulmonary adenocarcinoma. In assessment of effusion specimens with metastatic carcinoma, nuclear reactivity for WT1 is highly suggestive of an ovary primary tumor.

Wilms tumor susceptibility gene 1 is a tumor suppressor gene that initially was identified due to its deletion or mutation in Wilms tumors. Monoclonal antibodies to its protein product, WT1, were developed subsequently, and it was found that they had diagnostic utility not only in the identification of Wilms tumors and desmoplastic small round cell tumors1, 2 but also in the distinction of mesothelioma from adenocarcinoma in pleural tumors.3, 4 This immunohistochemical study evaluates the diagnostic utility of WT1 as a marker for malignant mesothelioma in paraffin sections of cell block preparations derived from effusion specimens. Cancer (Cancer Cytopathol) 2002;96:000–000.
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Tips On How To Find The Perfect Mesothelioma Attorney For Your Situation


You or a loved one has been diagnosed with Mesothelioma cancer. Do you want to let the party responsible get away with it? No! Here is how to go about selecting a Mesothelioma lawyer.
Let’s be honest. A Mesothelioma diagnosis is crushing. Not only is it a form of cancer, but it is a form that usually is only discovered in the very late stages when treatment options are very limited and the five year survival rate is, well, below 10 percent. Given this, it is natural to just want to crawl into a ball. You can’t do this? You must fight medically and legally!

Asbestos exposure is nearly always the cause of Mesothelioma. Well, guess what. A company made a buck selling that asbestos. To make matters unconscionable, many believe the manufacturers knew about the health risks associated with the material and decided to go ahead and sell it anyway. Think about that for a minute. Some corporate executive decided that your life or the one close to you who has the cancer wasn’t worth holding back this money making product for. That should really make you furious and suing them is one way to make them pay.

The asbestos-Mesothelioma relationship is a complex one from a legal perspective. Given this, you want to make sure that you select a lawyer who is not just familiar with the field, but an absolute specialist in it. This means the number one thing to look for is a lawyer who just prosecutes these types of cases. The law is changing all the time as the appellate courts make rulings and such. You need to be sure that the lawyer you hire is up on all the changes and can provide you with the representation you need.

So, what questions should you ask the perspective lawyers? Well, you should speak with at least three different ones. All should provide you with a free consultation. During the consult, you should ask how long they have been an attorney, what percentage of their practice is devoted to Mesothelioma litigation, how many total cases of this type they have filed, how many have gone to trial and their record in them and whether they have any awards or certifications in the field? Comparing each lawyer’s answers to these questions should give you a pretty good feel for which counsel is best for your case.

Mesothelioma is a brutal diagnosis, particularly since it didn’t have to happen if some executive of an asbestos company had displayed any humanity and decided against selling the material. Fortunately, you have rights. Make sure you exercise them by selecting a Mesothelioma lawyer that can represent you with competency and passion.
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Pleural Effusion Mesothelioma


Pleural effusion is one of the most common symptoms of mesothelioma. It is fluid accumulation between the visceral pleura (the membrane that covers the lungs) and parietal pleura (the membrane that covers the diaphragm and chest wall). Both the visceral pleura and parietal pleura are covered with mesothelial cells which give rise to a small amount of fluid that acts as a lubricant between the lung and chest wall. Lymph vessels absorb any excess fluid to maintain a balance. Pleural effusion occurs when there is of too much fluid and it is not absorbed by the lymph vessels.
Types of Pleural Effusion

Pleural effusion is of two types: exudates and transudates. An exudate is a fluid that goes through the circulatory system and forms a lesion and is comprised of a wide variety of proteins and cells. It is quite cloudy and is directly related to mesothelioma. A transudate is a clear fluid that forms due to an imbalance between the normal production and fluid removal. Congestive heart failure is one of the most common causes of transudative fluid. To evaluate the nature of fluid, you need to go through a diagnostic thoracentesis, a needle is used to get a sample of fluid.

Symptoms

As the fluid volume increases, there is going to be shortness of breath (dyspnea) and sometimes mild pain. There are a number of individuals who also experience a dry cough. When the health care provider listens to the patient’s chest through the stethoscope, there are no breath sounds and when tapping on the chest, there are dull sounds rather than hollow.

Diagnosis of Pleural Effusion

Diagnosis of pleural effusion is normally done through a chest x-ray. To get more detailed view, you can also go for ultrasounds and CT scans. A special x-ray, known as a lateral decubitus film, can come in handy for detecting smaller effusions. Lateral decubitus film can also help the physician evaluate the amount of fluid in your body. If the main reason for effusion is known, a fluid sampling may not be required.

As pleural effusion may be symptomatic of a wide variety of disease processes, malignant to benign, your fluid sample should be taken. Diagnostic thoracentesis is normally conducted by health care providers. In Diagnostic thoracentesis, cells are extracted from the pleural cavity and if the test result is positive, it is a sign that you are suffering from Mesothelioma . If the result is inconclusive, you may have to go for a needle biopsy of the pleura (deals with the lung lining).

Treatment Pleural Effusion Mesothelioma

Pleural effusion due to infection or heart failure can normally be resolved by focusing directly on the cause. If fluid continues to form, your healthcare provider may opt for Chemical pleurodesis and chest tube drainage. Chemical pleurodesis is a routine using a sclerosing agent to scrape the pleural surfaces creating an adhesion between the visceral pleurae and parietal pleurae. With a success rate of more than 90%, talc is the most effective agent for pleurodesis.
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A Basic Guide To Recognizing And Treating Mesothelioma


Mesothelioma is a rare form of cancer that is usually found in those previously exposed to asbestos. Cancerous cells form in the mesothelium, which is a protective lining that covers most of the body's internal organs. These cells typically form in the lining of the lungs, abdomen, or the sac that encircles the heart.
he average life span of a person diagnosed with the disease is about 4 to 24 months from the finding. About 3,000 people in the U.S. die of mesothelioma every year. People at risk are those who have been previously exposed to asbestos dust, including former steel workers, auto mechanics, mineworkers, and military workers, among many others. Their family members may also be at risk, as the asbestos dust from clothing can travel through the air.

Mesothelioma has an extremely long latency period, which means that symptoms of the disease may not emerge until 30 to 50 years after the initial exposure to asbestos. Pleural mesothelioma, which is the most common type and affects the area around the lungs, may cause shortness of breath, chest pains, and a persistent cough, which may lead to coughing up blood. These symptoms are caused by the build up of fluid between the lining of the lung and the chest cavity. The disease may start in the chest area and spread to other areas of the body. Other symptoms of pleural mesothelioma include weight loss, severe breathing trouble, fever, difficulty swallowing, and swelling of the face and neck areas. It should be noted that some people with the disease do not experience any serious symptoms at all.

Peritoneal mesothelioma is rarer than pleural mesothelioma, and affects the abdominal area. Symptoms of peritoneal mesothelioma include abdominal swelling and pain due to the build up of fluid in the abdominal cavity, nausea, loss of appetite, and vomiting. Breathing complications and chest pains may also be present, as well as bowel obstruction, anaemia, fever, and blood clotting.

The rarest form of the disease is pericardial mesothelioma, which first forms in the area surrounding the heart. Tumors grow in the tissues around the heart and spread from there. Chest pain, shortness of breath, constant coughing, and shivering may be symptoms of this form of mesothelioma.

Diagnosis of the disease is oftentimes difficult, due to the fact that the symptoms associated with mesothelioma are similar to those of other conditions. The symptoms of the disease become more serious as the cancerous tumors enter the later stages of development, so people who have been exposed to asbestos at any time in their lives should contact their doctor immediately. Even if a person has never been exposed directly to asbestos but is experiencing any of the above symptoms, they should inform their doctor as soon as possible, as asbestos dust and fibres may have traveled through the air from items such as clothing.

People who have been diagnosed with any form of mesothelioma should immediately contact a lawyer. Individual states have their own statutes of limitation, meaning that there is a set time limit regarding how long a patient has to act on their diagnosis. When searching for a lawyer to handle your case, be sure to find one that has prior experience with mesothelioma cases. They will have the contacts and resources to take care of your case in a timely manner. The Internet is a helpful and efficient resource for a mesothelioma lawyer search.

Patients do not have to be concerned with paying lawyers up-front, since the majority of mesothelioma lawyers work on a contingency fee basis, which means that they will not request payment of any kind unless they successfully settle your case. Lawyers will usually take a 35% cut of whatever settlement or reward the patient receives, but patients seeking compensation for their disease have nothing to lose and everything to gain in going to a lawyer for help.

The average mesothelioma-related settlement in the U.S. is $1 million. Cases that go to trial average awards of approximately $6 million, according to the RAND Corporation. A bill called the Fairness in Asbestos Injury Resolution Act of 2005 (FAIR Act of 2005) introduced on March 17, 2005, seeks to create set amounts of compensation for mesothelioma victims, which would depend on their symptoms.

People who have mesothelioma are able to seek large compensation amounts because their disease is a result of a company's decision not to take sufficient measures to protect its workers from breathing in asbestos while on the job.