Mesothelioma Lawsuit Legal News
Mesothelioma Lawsuit : A thoracoscopy can provide information crucial for deciding how to treat the patient. It gives great insight. Lastly, if the radiologic tests indicate that there is more solid tumor than fluid, or if there is no longer a space where fluid can accumulate because of previous attempts to control the fluid, an “open” biopsy may be indicated. The incision does not have to be large if the pleura is thickened, but the procedure should be performed by a thoracic surgeon who understands the principles of mesothelioma treatment. This surgeon will usually suggest a 3- or 4-inch incision on the side of the chest, overlying an area of pleura that is thickened. The surgeon may or may not remove a small piece of rib at this site to allow a direct view of the thickened pleura. Many times, a good-sized piece of pleura (1 to 1 1/2 inches in diameter) can be removed at this site. Getting a quick freeze of the tissue in the operating room, with the pathologist looking at the biopsy, will ensure that there’s enough tissue to perform all the required testing and to make a diagnosis. Surgeons performing these biopsies should pick the right place for the biopsy, and the cut (incision) for this biopsy should be in line with the longer incision that would be used later if the patient is a surgical candidate. That way, this shorter incision can be removed.
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Although this operation is performed under general anesthesia (putting the patient to sleep), many times a chest tube to drain the air out of the chest is not needed because the surgeon never enters the chest cavity itself. The patient may need some pain medicine for about a week after the procedure if he or she was not having pain before the biopsy. Finally, mesothelioma can “set up shop” and grow tumors at biopsy sites. Radiation therapy is sometimes used after a thoracoscopy or open biopsy to prevent the disease from growing at those sites. If the biopsy results indicate mesothelioma, discuss this option with your physician.
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You need to make sure that the diagnosis in your case is correct, and you have every right to ask certain specific questions about the biopsy. Since mesothelioma is not a common disease, your primary doctor should make sure that all the appropriate testing has been performed on the specimen, including special stains (those immunos we talked about before), in order to distinguish mesothelioma from other cancers like adenocarcinoma of the lung. If there is any question, a common practice is to send the slides of the biopsy to specialists in mesothelioma.
It is important that you get the best information available regarding your particular condition in order to decrease confusion, establish confidence in the treatment team, and have every opportunity to fight the disease and live as long as possible. In the majority of cases, your physician -will inform you whether the institution he or she is associated with has a special interest in the disease and treats more than 50 cases of mesothelioma per year. If those resources are not at your physician’s disposal, he or she should recommend a second opinion at a cancer center, which is a specialized institution to which he can refer you for mesothelioma. You should not lose your primary physician or the physician who made this initial diagnosis as your advocates.
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