In a New York Daily News article, Dr. Raja Flores, mesothelioma specialist and chief thoracic surgeon at Mt. Sinai Hospital, New York, said there are two options for mesothelioma surgery. The standard approach has been to remove the lung suffering the most cancerous cells, a procedure called extra-pleural pneumonectomy. The second option, pleurectomy/decortication, focuses on removal of infected lung lining and as many cancer tumors and infected tissues as possible while sparing the lung.
Patient’s health is a determining factor in the decision for surgery. Mesothelioma is an aggressive cancer that can quickly lower patient stamina and quality of life. The probability for a beneficial surgical outcome needs to be high. Mesothelioma is without a curative treatment; much of patient care centers on pain management. After diagnosis many patients have a life expectancy of just six to eighteen months. The goal of surgery is to remove as many tumors as possible, which could lessen the pain and raise both quality of life and life expectancy.
According to Dr. Flores, CT scans taken for mesothelioma surgery preparation can be misleading. There can be more infected tissues, tumors and cells than were visible from the scans. Therefore, many surgeons decide between an extra-pleural pneumonectomy or a pleurectomy/decortication once the surgery has begun. This way, lungs, lining and surrounding tissues can be more thoroughly inspected prior to removal.
Mesothelioma is a rare cancer caused almost solely be the fibers of asbestos, a toxic chemical used in many building materials. Asbestos fiber exposure is commonly associated with workplace hazards in manufacturing industries like shipbuilding and oil refining. Although mesothelioma typically attacks the lining of the lungs called the mesothelium, it can also be found throughout the abdomen in linings of other organs such as the heart.
The Environmental Protection Agency’s Clean Air Act defines and describes the responsibilities for promoting and maintaining air quality in America. Regulations for asbestos use, as well as its safe removal and destruction, fall under the Clean Air Act’s guidelines. In spite of the nations high standards three thousand Americans suffer with mesothelioma each year.
It can take more than twenty years for mesothelioma to develop signs or symptoms, which according to Dr. Flores can include shortness of breath. Chest pain and persistent coughing can also be signs of mesothelioma. With symptoms mimicking more common, treatable respiratory conditions like pneumonia, mesothelioma is easily misdiagnosed.



