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Mesothelioma
Stages
Once malignant mesothelioma
is found, staging will be done to find out if cancer cells have spread to other
parts of the body. Staging of mesothelioma is based on imaging studies such as
x-rays, CT scans, and MRI scans. Peritoneal mesothelioma is not staged while there
are three staging systems for pleural mesothelioma.
i The most often used
Butchart System is based mainly on the extent of primary tumor mass and divides
mesotheliomas into four stages.
• Stage I - Mesothelioma is
present in the right or left pleura and may also involve the lung, pericardium
or diaphragm on the same side.
• Stage II - Mesothelioma
invades the chest wall or involves the esophagus, heart, or pleura on both sides.
Lymph nodes in the chest may also be involved.
• Stage
III - Mesothelioma has penetrated through the diaphragm into the peritoneum. Lymph
nodes beyond those in the chest may also be involved.
• Stage
IV - There is evidence of metastasis or spread through the bloodstream to other
organs
ii The recent TNM system is similar
to staging systems used for most other cancers.
• Stage I - Mesothelioma
involves right or left pleura and may also have spread to the lung, pericardium,
or diaphragm on the same side. Lymph nodes are not involved.
• Stage
II - Mesothelioma has spread from the pleura on one side to nearby 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 or mediastinal lymph nodes on the same side as the primary 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.
• Stage IV - Mesothelioma has
spread into the lymph nodes in the chest on the side opposite the primary tumor,
or directly extends to the pleura or lung on the opposite side, or into organs
in the abdominal cavity or neck. Any distant metastases is included in this stage.
iii
The latest Brigham System stages mesothelioma according to
resectability (the ability to surgically remove) and lymph node involvement
• Stage
I - Resectable mesothelioma and no lymph node involvement
• Stage
II - Resectable mesothelioma but with lymph node involvement
• Stage
III - Unresectable mesothelioma extending into chest wall, heart, or through diaphragm,
peritoneum; with or without extrathoracic lymph node involvement
• Stage IV - Distant metastatic disease.
Questions of
Questions & Answers |
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| 1. |
Posted on :
16.1.2015 By : Mitali , Delhi
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My husband is suffer from blood cancer.. He had his first stage.. He took very expensive treatment by still he suffers a lot on his disease..... Is dis possible dat he can be became fit??? |
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Posted on :
23.5.2013 By : Dharmendra Kumar Singh , Kolkata
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My nephew age 3+ has blood cancer 1st stage, please sugest me low budget hosital in Kolkata. |
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The cheapest Hopital for Cancer treatment is Tata Medical at Rajarhat. It is the best in Eastern Region. |
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Posted By :Subho , kolkata | On 11.6.2013 |
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There is a lot of cancer research is going on at tata cancer centre. You could try there. |
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Posted By :Admin , Kochi | On 23.5.2013 |
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| 3. |
Posted on :
16.8.2012 By : Payalkelkar , Nagpur
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Suggest best treatment for blood cancer 1st stage, and best hosital in nagpur. |
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