Mesothelioma Treatment Options

Mesothelioma is a rare and aggressive cancer primarily caused by asbestos exposure. It most often affects the lining of the lungs (pleural mesothelioma), but can also develop in the abdomen (peritoneal), heart (pericardial), or testicles (tunica vaginalis). Early diagnosis and a personalized treatment plan can improve quality of life and potentially extend survival.

🏥 Primary Treatment Options for Mesothelioma

🧬 1. Surgery

Surgery is typically used for early-stage mesothelioma and aims to remove as much of the tumor as possible.

  • Extrapleural Pneumonectomy (EPP): Removes a lung, part of the diaphragm, and surrounding tissue.
  • Pleurectomy/Decortication (P/D): Removes the lining of the lung and part of the chest wall without removing the lung itself.
  • Cytoreductive Surgery: For peritoneal mesothelioma, often combined with heated chemotherapy (HIPEC).

💉 2. Chemotherapy

Often used in combination with surgery or when surgery isn't an option.

  • Common drugs: Pemetrexed and Cisplatin
  • Goal: Slow tumor growth and relieve symptoms

☢️ 3. Radiation Therapy

Targets mesothelioma cells with high-energy beams to shrink tumors and manage pain.

  • Often used after surgery to destroy remaining cancer cells
  • May also be used as palliative care


🧪 Emerging Treatments & Clinical Trials

🌐 Immunotherapy

Boosts the body’s immune system to fight cancer.

  • Drugs like nivolumab and ipilimumab have shown promise in recent trials.

🔬 Targeted Therapy

Focuses on specific gene mutations in cancer cells. Still under research but gaining ground in personalized care.

🧫 Gene Therapy & Photodynamic Therapy

Experimental therapies in clinical trials may offer future options for resistant cases.



🩺 Supportive & Palliative Care

Even when mesothelioma is advanced, treatments are available to manage symptoms such as:

  • Shortness of breath
  • Chest or abdominal pain
  • Fatigue
  • Fluid buildup

Palliative care improves quality of life and helps patients manage the emotional and physical effects of cancer.



📋 Choosing the Right Treatment Plan

Factors That Influence Treatment:

  • Type and stage of mesothelioma
  • Location of tumors
  • Overall health and age
  • Patient preferences and goals

Treatment is often coordinated by a multidisciplinary team that may include oncologists, thoracic surgeons, radiologists, and palliative care specialists.



🧭 Where to Get Treatment

Top cancer centers in the U.S. for mesothelioma care include:

  • MD Anderson Cancer Center (Texas)
  • Brigham and Women’s Hospital (Boston)
  • Mayo Clinic (Minnesota)
  • Memorial Sloan Kettering Cancer Center (New York)


🧠 Conclusion

Mesothelioma treatment has evolved to include a combination of surgery, chemotherapy, radiation, and newer options like immunotherapy. Early diagnosis, access to specialists, and clinical trial participation can significantly impact outcomes. If you or a loved one is facing a mesothelioma diagnosis, seeking care from an experienced cancer center is essential.