Pericardial Mesothelioma

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Almost all mesotheliomas can be traced to asbestos exposure, but medical researchers continue to study the link between asbestos and cancer of the pericardium. Studies are clear on how inhaled microscopic fibers reach the lungs, but less clear on how the fibers reach the heart.

This form of cancer strikes twice as many men as women, and is most often diagnosed in people between the ages of 50 and 70. Like the other types of mesothelioma, the disease develops over a long period of time, and is typically discovered at a later stage. Symptoms include chest pain, fatigue and shortness of breath. Diagnosis is difficult because symptoms mimic those of other disorders.

Most pericardial mesothelioma patients experience symptoms that resemble those of other heart conditions long after the cancer initially develops, making the cancer difficult to accurately diagnose.

Most symptoms are caused by the buildup of fluid and the thickening of pericardial layers. The presence of any of these symptoms should be followed by a visit to the doctor with recommended screenings such as an X-ray or CT scan.

The following symptoms may indicate pericardial mesothelioma. However, they could also mean a number of other heart conditions. If you experience these symptoms, make an appointment with your physician immediately.

  • Heart palpitations or irregular
  • heartbeat (arrhythmia)
  • Murmurs
  • Shortness of breath when lying flat
  • Fatigue
  • Night sweats
  • Difficulty breathing, even when at rest (dyspnea)
  • Cough
  • Chest pain
  • Fever

Pericardial mesothelioma is considered rare for several reasons:

  • Location and Exposure: Unlike pleural mesothelioma, which affects the lining of the lungs and is more common due to direct inhalation of asbestos fibers, pericardial mesothelioma develops in the pericardium, the thin membrane surrounding the heart. Exposure to asbestos fibers reaching the pericardium is less common compared to exposure in the lungs.
  • Delayed Symptoms and Diagnosis: Symptoms of pericardial mesothelioma can be nonspecific and mimic other heart and lung conditions. This can lead to delays in diagnosis and underreporting of cases, contributing to its rarity.
  • Aggressive Nature: Pericardial mesothelioma tends to be more aggressive than other types due to its location near the heart, complicating treatment options and reducing survival rates. This may further contribute to its classification as a rare form of cancer.
  • Limited Research and Awareness: Compared to more common forms of cancer, pericardial mesothelioma has received less research attention and public awareness. This can contribute to its perceived rarity and the challenges in understanding its causes and treatment strategies.

Overall, the combination of limited exposure pathways, delayed diagnosis, aggressive nature, and relatively low incidence contributes to pericardial mesothelioma being considered a rare form of cancer.

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  • “SWMW did an amazing job! They started the process with my father but during the process my father passed. They were so helpful when it came to us, his children, taking over in place of my dad. They answered every call and were extremely patient and supportive of us. They really did a great job with keeping us informed and educated. They fought for us. I would recommend them to anyone that hears the diagnosis of Mesothelioma. They will fight for you 100% of the way. Thank you SWMW Team for your support and patience! We truly appreciate all of you! – The Anderson’s”

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Treatment options are limited because the heart lining rests so closely to the heart itself and could easily damage this important and delicate organ. Most patients with pericardial mesothelioma are not ideal candidates for surgery. Surgery near this area is extremely dangerous because of the close proximity to the heart.

Pericardiectomy

Patients whose doctors they decide are good candidates for surgery may choose to undergo a pericardiectomy, the surgical process of removing part or all of the pericardium. This procedure can relieve pressure and minimize fluid buildup, allowing the heart to continue functioning properly. A pericardiocentesis is a less invasive procedure that removes excess fluid from the pericardium to relieve pressure around the heart.

Chemotherapy

Chemotherapy is an option that is normally considered for asbestos-related cancers, but the clinical benefits seen in pericardial patients who received this treatment were minimal. Similarly, radiation therapy, which is considered one of the primary therapies for most peritoneal and pleural cases, is considered minimally effective for this rare cancer.

Palliative Treatment

Palliative treatment options are the most viable and common treatments, which aim to minimize pain and reduce the symptoms caused by the buildup of fluid in the pericardium. Essentially, palliative care can improve quality of life and make patients more comfortable. Palliative treatments can include therapies that relieve pain and pressure around the heart, such as a pericardiocentesis or pain medication.

Fine Needle Aspiration

Another treatment that removes excess fluid is known as a fine needle aspiration. This palliative procedure is more commonly used as a diagnostic method for pleural mesothelioma patients but can provide comfort for certain patients.

If you have mesothelioma, call us anytime day or night at  844-857-SWMW or  contact us online.

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